UNITED STATES

 SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549



FORM N-PX



ANNUAL REPORT OF PROXY VOTING RECORD OF REGISTERED MANAGEMENT

INVESTMENT COMPANY



Investment Company Act file number 811-21702



Name of Fund: BlackRock Health Sciences Trust (BME)



Fund Address: 100 Bellevue Parkway, Wilmington, DE 19809



Name and address of agent for service: Anne Ackerley, Chief Executive Officer,

BlackRock Health Sciences Trust,

40 East 52(nd) Street, New York City, NY 10022.



Registrant's telephone number, including area code: (800) 882-0052, Option 4



Date of fiscal year end: 10/31



Date of reporting period: 07/01/2008 -- 06/30/2009



Item 1 -- Proxy Voting Record -- Attached hereto.



Pursuant to the requirements of the Investment Company Act of 1940, the

registrant has duly caused this report to be

signed on its behalf by the undersigned, thereunto duly authorized.



BlackRock Health Sciences Trust



By: /s/ Anne Ackerley

Anne Ackerley

Chief Executive Officer of

BlackRock Health Sciences Trust



Date: August 14, 2009




******************************* FORM N-Px REPORT *******************************

ICA File Number: 811-21702
Reporting Period: 07/01/2008 - 06/30/2009
BlackRock Health Sciences Trust









======================= BLACKROCK HEALTH SCIENCES TRUST ========================


ABBOTT LABORATORIES

Ticker:       ABT            Security ID:  002824100
Meeting Date: APR 24, 2009   Meeting Type: Annual
Record Date:  FEB 25, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director R.J. Alpern              For       For          Management
1.2   Elect Director R.S. Austin              For       For          Management
1.3   Elect Director W.M. Daley               For       For          Management
1.4   Elect Director W.J. Farrell             For       For          Management
1.5   Elect Director H.L. Fuller              For       For          Management
1.6   Elect Director W.A. Osborn              For       For          Management
1.7   Elect Director D.A.L. Owen              For       For          Management
1.8   Elect Director W.A. Reynolds            For       For          Management
1.9   Elect Director R.S. Roberts             For       For          Management
1.10  Elect Director S.C. Scott, III          For       For          Management
1.11  Elect Director W.D. Smithburg           For       For          Management
1.12  Elect Director G.F. Tilton              For       For          Management
1.13  Elect Director M.D. White               For       For          Management
2     Approve Omnibus Stock Plan              For       For          Management
3     Approve Nonqualified Employee Stock     For       For          Management
      Purchase Plan
4     Ratify Auditors                         For       For          Management
5     Report on Animal Testing                Against   Against      Shareholder
6     Adopt Principles for Health Care Reform Against   Against      Shareholder
7     Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation


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ALCON INC.

Ticker:       ACL            Security ID:  H01301102
Meeting Date: MAY 5, 2009    Meeting Type: Annual
Record Date:  MAR 19, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     APPROVAL OF THE 2008 ANNUAL REPORT AND  For       Did Not Vote Management
      ACCOUNTS OF ALCON, INC.AND THE 2008
      CONSOLIDATED FINANCIAL STATEMENTS OF
      ALCON, INC.AND SUBSIDIARIES
2     APPROPRIATION OF AVAILABLE EARNINGS AND For       Did Not Vote Management
      PROPOSED DIVIDEND TOSHAREHOLDERS FOR
      THE FINANCIAL YEAR 2008
3     DISCHARGE OF THE MEMBERS OF THE BOARD   For       Did Not Vote Management
      OF DIRECTORS FOR THEFINANCIAL YEAR 2008
4     ELECTION OF KPMG AG, ZUG, AS GROUP AND  For       Did Not Vote Management
      PARENT COMPANY AUDITORS
5     ELECTION OF OBT AG, ZURICH, AS SPECIAL  For       Did Not Vote Management
      AUDITORS
6     ELECTION TO THE BOARD OF DIRECTORS:     For       Did Not Vote Management
      KEVIN BUEHLER
7     ELECTION TO THE BOARD OF DIRECTORS:     For       Did Not Vote Management
      PAUL BULCKE
8     ELECTION TO THE BOARD OF DIRECTORS:     For       Did Not Vote Management
      JOAN MILLER, M.D.
9     ELECTION TO THE BOARD OF DIRECTORS:     For       Did Not Vote Management
      HERMANN WIRZ
10    APPROVAL OF SHARE CANCELLATION          For       Did Not Vote Management
11    EDITORIAL AMENDMENTS TO THE ARTICLES OF For       Did Not Vote Management
      ASSOCIATION


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ALEXION PHARMACEUTICALS, INC.

Ticker:       ALXN           Security ID:  015351109
Meeting Date: MAY 13, 2009   Meeting Type: Annual
Record Date:  MAR 24, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Leonard Bell             For       For          Management
1.2   Elect Director Max Link                 For       For          Management
1.3   Elect Director Joseph A. Madri          For       For          Management
1.4   Elect Director Larry L. Mathis          For       For          Management
1.5   Elect Director R. Douglas Norby         For       For          Management
1.6   Elect Director Alvin S. Parven          For       For          Management
1.7   Elect Director Ruedi E. Waeger          For       For          Management
2     Ratify Auditors                         For       For          Management


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ALLERGAN, INC.

Ticker:       AGN            Security ID:  018490102
Meeting Date: APR 30, 2009   Meeting Type: Annual
Record Date:  MAR 10, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Herbert W. Boyer         For       For          Management
1.2   Elect Director Robert A. Ingram         For       For          Management
1.3   Elect Director David E.I. Pyott         For       For          Management
1.4   Elect Director Russell T. Ray           For       For          Management
2     Ratify Auditors                         For       For          Management
3     Report on Animal Testing                Against   Against      Shareholder


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ALPHATEC HOLDINGS, INC

Ticker:       ATEC           Security ID:  02081G102
Meeting Date: JUL 30, 2008   Meeting Type: Annual
Record Date:  JUN 5, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director John H. Foster           For       For          Management
1.2   Elect Director Mortimer Berkowitz III   For       For          Management
1.3   Elect Director R. Ian Molson            For       For          Management
1.4   Elect Director Stephen E. O'Neil        For       For          Management
1.5   Elect Director S.H. Hochschuler         For       For          Management
1.6   Elect Director James R. Glynn           For       For          Management
1.7   Elect Director Richard Ravitch          For       For          Management
1.8   Elect Director Rohit M. Desai           For       For          Management
1.9   Elect Director Dirk Kuyper              For       For          Management
2     Approve Qualified Employee Stock        For       For          Management
      Purchase Plan
3     Ratify Auditors                         For       For          Management


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AMERIGROUP CORP.

Ticker:       AGP            Security ID:  03073T102
Meeting Date: MAY 7, 2009    Meeting Type: Annual
Record Date:  MAR 9, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Thomas E. Capps          For       For          Management
1.2   Elect Director Emerson U. Fullwood      For       For          Management
1.3   Elect Director William J. McBride       For       For          Management
2     Ratify Auditors                         For       For          Management
3     Approve Omnibus Stock Plan              For       For          Management


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AMERISOURCEBERGEN CORP

Ticker:       ABC            Security ID:  03073E105
Meeting Date: FEB 19, 2009   Meeting Type: Annual
Record Date:  DEC 22, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Richard C. Gozon         For       For          Management
2     Elect Director Michael J. Long          For       For          Management
3     Elect Director J. Lawrence Wilson       For       For          Management
4     Ratify Auditors                         For       For          Management
5     Amend Omnibus Stock Plan                For       For          Management
6     Submit Shareholder Rights Plan (Poison  Against   For          Shareholder
      Pill) to Shareholder Vote


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AMGEN, INC.

Ticker:       AMGN           Security ID:  031162100
Meeting Date: MAY 6, 2009    Meeting Type: Annual
Record Date:  MAR 9, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director David Baltimore          For       For          Management
2     Elect Director Frank J. Biondi, Jr.     For       For          Management
3     Elect Director Francois de Carbonnel    For       For          Management
4     Elect Director Jerry D. Choate          For       For          Management
5     Elect Director Vance D. Coffman         For       For          Management
6     Elect Director Frederick W. Gluck       For       For          Management
7     Elect Director Frank C. Herringer       For       For          Management
8     Elect Director Gilbert S. Omenn         For       For          Management
9     Elect Director Judith C. Pelham         For       For          Management
10    Elect Director J. Paul Reason           For       For          Management
11    Elect Director Leonard D. Schaeffer     For       For          Management
12    Elect Director Kevin W. Sharer          For       For          Management
13    Ratify Auditors                         For       For          Management
14    Approve Omnibus Stock Plan              For       For          Management
15    Reduce Supermajority Vote Requirement   For       For          Management
16    Amend Articles/Bylaws/Charter -- Call   Against   For          Shareholder
      Special Meetings
17    Reincorporate in Another State [from    Against   Against      Shareholder
      Delaware to North Dakota ]


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ARYX THERAPEUTICS INC

Ticker:       ARYX           Security ID:  043387109
Meeting Date: MAY 20, 2009   Meeting Type: Annual
Record Date:  APR 7, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Lars G. Ekman            For       For          Management
1.2   Elect Director Keith R. Leonard         For       For          Management
1.3   Elect Director Paul J. Sekhri           For       For          Management
2     Ratify Auditors                         For       For          Management


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AUXILIUM PHARMACEUTICALS, INC.

Ticker:       AUXL           Security ID:  05334D107
Meeting Date: JUN 10, 2009   Meeting Type: Annual
Record Date:  APR 16, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Rolf A. Classon          For       For          Management
1.2   Elect Director Al Altomari              For       For          Management
1.3   Elect Director Armando Anido            For       For          Management
1.4   Elect Director Edwin A. Bescherer, Jr.  For       For          Management
1.5   Elect Director P.o. Chambon             For       For          Management
1.6   Elect Director Oliver S. Fetzer         For       For          Management
1.7   Elect Director Renato Fuchs             For       For          Management
1.8   Elect Director Dennis Langer            For       For          Management
1.9   Elect Director William T. McKee         For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Auditors                         For       For          Management


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BAXTER INTERNATIONAL INC.

Ticker:       BAX            Security ID:  071813109
Meeting Date: MAY 5, 2009    Meeting Type: Annual
Record Date:  MAR 9, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Walter E. Boomer         For       For          Management
1.2   Elect Director James R. Gavin III       For       For          Management
1.3   Elect Director Peter S. Hellman         For       For          Management
1.4   Elect Director K. J. Storm              For       For          Management
2     Ratify Auditors                         For       For          Management
3     Report on Animal Testing                Against   Against      Shareholder


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BECKMAN COULTER, INC.

Ticker:       BEC            Security ID:  075811109
Meeting Date: APR 23, 2009   Meeting Type: Annual
Record Date:  FEB 23, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Peter B. Dervan          For       For          Management
1.2   Elect Director Scott Garrett            For       For          Management
1.3   Elect Director Susan Nowakowski         For       For          Management
1.4   Elect Director Glenn S. Schafer         For       For          Management
2     Ratify Auditors                         For       For          Management
3     Amend Omnibus Stock Plan                For       For          Management


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BECTON, DICKINSON AND COMPANY

Ticker:       BDX            Security ID:  075887109
Meeting Date: FEB 3, 2009    Meeting Type: Annual
Record Date:  DEC 12, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Claire M. Fraser-Liggett For       For          Management
1.2   Elect Director Edward J. Ludwig         For       For          Management
1.3   Elect Director Willard J. Overlock, Jr. For       For          Management
1.4   Elect Director Bertram L. Scott         For       For          Management
2     Ratify Auditors                         For       For          Management
3     Declassify the Board of Directors       For       For          Management
4     Amend Omnibus Stock Plan                For       For          Management
5     Amend Omnibus Stock Plan                For       For          Management
6     Amend Bylaws -- Call Special Meetings   Against   For          Shareholder
7     Provide for Cumulative Voting           Against   Against      Shareholder


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BIOFORM MED INC

Ticker:       BFRM           Security ID:  09065G107
Meeting Date: DEC 12, 2008   Meeting Type: Annual
Record Date:  OCT 22, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Steven L. Basta          For       For          Management
1.2   Elect Director N.C. Joseph Lai          For       For          Management
2     Ratify Auditors                         For       Against      Management
3     Amend Bundled Compensation Plans        For       Against      Management


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BIOGEN IDEC INC.

Ticker:       BIIB           Security ID:  09062X103
Meeting Date: JUN 3, 2009    Meeting Type: Proxy Contest
Record Date:  APR 6, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
      Management Proxy (White Card)
1.1   Elect Director Lawrence C. Best         For       None         Management
1.2   Elect Director Alan B. Glassberg        For       None         Management
1.3   Elect Director Robert W. Pangia         For       None         Management
1.4   Elect Director William D. Young         For       None         Management
2     Ratify Auditors                         For       None         Management
3     Adopt Majority Voting for Uncontested   For       None         Management
      Election of Directors
4     Fix Size of Board at 13 and Remove the  Against   None         Shareholder
      Board's Ability to Change the Size of
      the Board
5     Reincorporate in Another State [North   Against   None         Shareholder
      Dakota]

#     Proposal                                Diss Rec  Vote Cast    Sponsor
      Dissident Proxy (Gold Card)
1.1   Elect Director Alexander J. Denner      For       For          Shareholder
1.2   Elect Director Richard C. Mulligan      For       For          Shareholder
1.3   Elect Director Thomas F. Deuel          For       Withhold     Shareholder
1.4   Elect Director David Sidransky          For       Withhold     Shareholder
2     Fix Size of Board at 13 and Remove the  For       For          Shareholder
      Board's Ability to Change the Size of
      the Board
3     Reincorporate in Another State [North   For       Against      Shareholder
      Dakota]
4     Ratify Auditors                         For       For          Management
5     Adopt Majority Voting for Uncontested   For       For          Management
      Election of Directors


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BIOMARIN PHARMACEUTICAL INC.

Ticker:       BMRN           Security ID:  09061G101
Meeting Date: MAY 12, 2009   Meeting Type: Annual
Record Date:  MAR 23, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jean-Jacques Bienaime    For       For          Management
1.2   Elect Director Michael Grey             For       For          Management
1.3   Elect Director Elaine J. Heron, Ph.D.   For       For          Management
1.4   Elect Director Joseph Klein, III        For       For          Management
1.5   Elect Director Pierre Lapalme           For       For          Management
1.6   Elect Director V. Bryan Lawlis, Ph.D.   For       For          Management
1.7   Elect Director Alan J. Lewis, Ph.D.     For       For          Management
1.8   Elect Director Richard A. Meier         For       For          Management
2     Ratify Auditors                         For       For          Management


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BLACKROCK CORPORATE HIGH YIELD FUND VI INC

Ticker:       HYT            Security ID:  09255P107
Meeting Date: SEP 12, 2008   Meeting Type: Annual
Record Date:  JUL 14, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect  Director G.N. Beckwith, III      For       For          Management
1.2   Elect  Director Kent Dixon              For       For          Management
1.3   Elect  Director R. Glenn Hubbard        For       For          Management
1.4   Elect  Director W. Carl Kester          For       For          Management
1.5   Elect  Director Robert S. Salomon, Jr.  For       For          Management
1.6   Elect  Director Richard S. Davis        For       For          Management
1.7   Elect  Director Frank J. Fabozzi        For       For          Management
1.8   Elect  Director James T. Flynn          For       For          Management
1.9   Elect  Director Karen P. Robards        For       For          Management
1.10  Elect  Director Richard E. Cavanagh     For       For          Management
1.11  Elect  Director Kathleen F. Feldstein   For       For          Management
1.12  Elect  Director Henry Gabbay            For       For          Management
1.13  Elect  Director Jerrold B. Harris       For       For          Management


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BLACKROCK ENHANCED DIVIDEND ACHIEVERS TRUST

Ticker:       BDJ            Security ID:  09251A104
Meeting Date: SEP 12, 2008   Meeting Type: Annual
Record Date:  JUL 14, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect  Director G.N. Beckwith, III      For       For          Management
1.2   Elect  Director Kent Dixon              For       For          Management
1.3   Elect  Director R. Glenn Hubbard        For       For          Management
1.4   Elect  Director W. Carl Kester          For       For          Management
1.5   Elect  Director Robert S. Salomon, Jr.  For       For          Management


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BLACKROCK GLOBAL ENERGY AND RESOURCES TRUST

Ticker:       BGR            Security ID:  09250U101
Meeting Date: SEP 12, 2008   Meeting Type: Annual
Record Date:  JUL 14, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect  Director G.N. Beckwith, III      For       For          Management
1.2   Elect  Director Kent Dixon              For       For          Management
1.3   Elect  Director R. Glenn Hubbard        For       For          Management
1.4   Elect  Director W. Carl Kester          For       For          Management
1.5   Elect  Director Robert S. Salomon, Jr.  For       For          Management


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BLACKROCK GLOBAL FLOATING RATE INCOME TRUST

Ticker:       BGT            Security ID:  091941104
Meeting Date: SEP 12, 2008   Meeting Type: Annual
Record Date:  JUL 14, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect  Director G.N. Beckwith, III      For       For          Management
1.2   Elect  Director Kent Dixon              For       For          Management
1.3   Elect  Director R. Glenn Hubbard        For       For          Management
1.4   Elect  Director Robert S. Salomon, Jr.  For       For          Management


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BLACKROCK INTERNATIONAL GROWTH AND INCOME TRUST

Ticker:       BGY            Security ID:  092524107
Meeting Date: SEP 12, 2008   Meeting Type: Annual
Record Date:  JUL 14, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect  Director G.N. Beckwith, III      For       For          Management
1.2   Elect  Director Kent Dixon              For       For          Management
1.3   Elect  Director R. Glenn Hubbard        For       For          Management
1.4   Elect  Director W. Carl Kester          For       For          Management
1.5   Elect  Director Robert S. Salomon, Jr.  For       For          Management


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BLACKROCK LIMITED DURATION INCOME TRUST

Ticker:       BLW            Security ID:  09249W101
Meeting Date: SEP 12, 2008   Meeting Type: Annual
Record Date:  JUL 14, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect  Director G.N. Beckwith, III      For       For          Management
1.2   Elect  Director Kent Dixon              For       For          Management
1.3   Elect  Director R. Glenn Hubbard        For       For          Management
1.4   Elect  Director W. Carl Kester          For       For          Management
1.5   Elect  Director Robert S. Salomon, Jr.  For       For          Management


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BLACKROCK PREFERRED & EQUITY ADVANTAGE TRUST

Ticker:       BTZ            Security ID:  092508100
Meeting Date: SEP 12, 2008   Meeting Type: Annual
Record Date:  JUL 14, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect  Director G.N. Beckwith, III      For       For          Management
1.2   Elect  Director Kent Dixon              For       For          Management
1.3   Elect  Director R. Glenn Hubbard        For       For          Management
1.4   Elect  Director Robert S. Salomon, Jr.  For       For          Management


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BLACKROCK PREFERRED INCOME STRATEGIES FUND INC

Ticker:       PSY            Security ID:  09255H105
Meeting Date: SEP 12, 2008   Meeting Type: Annual
Record Date:  JUL 14, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect  Director G.N. Beckwith, III      For       For          Management
1.2   Elect  Director Kent Dixon              For       For          Management
1.3   Elect  Director R. Glenn Hubbard        For       For          Management
1.4   Elect  Director Robert S. Salomon, Jr.  For       For          Management
1.5   Elect  Director Richard S. Davis        For       For          Management
1.6   Elect  Director James T. Flynn          For       For          Management
1.7   Elect  Director Karen P. Robards        For       For          Management
1.8   Elect  Director Richard E. Cavanagh     For       For          Management
1.9   Elect  Director Kathleen F. Feldstein   For       For          Management
1.10  Elect  Director Henry Gabbay            For       For          Management
1.11  Elect  Director Jerrold B. Harris       For       For          Management


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BOSTON SCIENTIFIC CORP.

Ticker:       BSX            Security ID:  101137107
Meeting Date: MAY 5, 2009    Meeting Type: Annual
Record Date:  MAR 6, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director John E. Abele            For       For          Management
2     Elect Director Ursula M. Burns          For       For          Management
3     Elect Director Marye Anne Fox           For       For          Management
4     Elect Director Ray J. Groves            For       For          Management
5     Elect Director Kristina M. Johnson      For       For          Management
6     Elect Director Ernest Mario             For       For          Management
7     Elect Director N.J. Nicholas, Jr.       For       For          Management
8     Elect Director Pete M. Nicholas         For       For          Management
9     Elect Director John E. Pepper           For       For          Management
10    Elect Director Uwe E. Reinhardt         For       For          Management
11    Elect Director Warren B. Rudman         For       For          Management
12    Elect Director John E. Sununu           For       For          Management
13    Elect Director James R. Tobin           For       For          Management
14    Ratify Auditors                         For       For          Management
15    Other Business                          For       Against      Management


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BRISTOL-MYERS SQUIBB CO.

Ticker:       BMY            Security ID:  110122108
Meeting Date: MAY 5, 2009    Meeting Type: Annual
Record Date:  MAR 12, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director L. Andreotti             For       For          Management
2     Elect Director L. B. Campbell           For       For          Management
3     Elect Director J. M. Cornelius          For       For          Management
4     Elect Director L. J. Freeh              For       For          Management
5     Elect Director L. H. Glimcher           For       For          Management
6     Elect Director M. Grobstein             For       For          Management
7     Elect Director L. Johansson             For       For          Management
8     Elect Director A. J. Lacy               For       For          Management
9     Elect Director V. L. Sato               For       For          Management
10    Elect Director T. D. West, Jr.          For       For          Management
11    Elect Director R. S. Williams           For       For          Management
12    Ratify Auditors                         For       For          Management
13    Increase Disclosure of Executive        Against   For          Shareholder
      Compensation
14    Reduce Supermajority Vote Requirement   Against   For          Shareholder
15    Amend Articles/Bylaws/Charter -- Call   Against   For          Shareholder
      Special Meetings
16    Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation


--------------------------------------------------------------------------------

CELERA CORPORATION

Ticker:       CRA            Security ID:  15100E106
Meeting Date: MAY 20, 2009   Meeting Type: Annual
Record Date:  APR 3, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Jean-Luc Belingard       For       For          Management
2     Elect Director Peter Barton Hutt        For       For          Management
3     Elect Director Gail K. Naughton         For       For          Management
4     Ratify Auditors                         For       For          Management


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CENTENE CORP.

Ticker:       CNC            Security ID:  15135B101
Meeting Date: APR 28, 2009   Meeting Type: Annual
Record Date:  FEB 27, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Robert K. Ditmore        For       For          Management
1.2   Elect Director Frederick H. Eppinger    For       For          Management
1.3   Elect Director David L. Steward         For       For          Management
2     Ratify Auditors                         For       For          Management


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COVENTRY HEALTH CARE INC.

Ticker:       CVH            Security ID:  222862104
Meeting Date: MAY 21, 2009   Meeting Type: Annual
Record Date:  MAR 23, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Daniel N. Mendelson      For       For          Management
1.2   Elect Director Rodman W. Moorhead       For       For          Management
1.3   Elect Director Timothy T. Weglicki      For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Amend Omnibus Stock Plan                For       For          Management
4     Ratify Auditors                         For       For          Management


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COVIDIEN LTD.

Ticker:       COV            Security ID:  G2552X108
Meeting Date: MAR 18, 2009   Meeting Type: Annual
Record Date:  JAN 6, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1a    Elect Craig Arnold as Director          For       For          Management
1b    Elect Robert H. Brust as Director       For       For          Management
1c    Elect John M. Connors, Jr. as Director  For       For          Management
1d    Elect Christopher J. Coughlin as        For       For          Management
      Director
1e    Elect Timothy M. Donahue as Director    For       For          Management
1f    Elect Kathy J. Herbert as Director      For       For          Management
1g    Elect Randall J. Hogan, III  as         For       For          Management
      Director
1h    Elect Richard J. Meelia as Director     For       For          Management
1i    Elect Dennis H. Reilley as Director     For       For          Management
1j    Elect Tadataka Yamada as Director       For       For          Management
1k    Elect Joseph A. Zaccagnino as Director  For       For          Management
2     Approve Amended and Restated 2007 Stock For       For          Management
      and Incentive Plan
3     Approve Auditors and Authorize Board to For       For          Management
      Fix Their Remuneration


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COVIDIEN LTD.

Ticker:       COV            Security ID:  G2552X108
Meeting Date: MAY 28, 2009   Meeting Type: Court
Record Date:  APR 17, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Reincorporation from Bermuda to For       For          Management
      Ireland through Scheme of Arrangement
2     Approve the Creation of Distributable   For       For          Management
      Reserves of Covidien plc
3     Adjourn Meeting                         For       For          Management


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CVS CAREMARK CORP

Ticker:       CVS            Security ID:  126650100
Meeting Date: MAY 6, 2009    Meeting Type: Annual
Record Date:  MAR 12, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Edwin M. Banks           For       For          Management
1.2   Elect Director C. David Brown II        For       For          Management
1.3   Elect Director David W. Dorman          For       For          Management
1.4   Elect Director Kristen E. Gibney        For       For          Management
      Williams
1.5   Elect Director Marian L. Heard          For       For          Management
1.6   Elect Director William H. Joyce         For       For          Management
1.7   Elect Director Jean-Pierre Million      For       For          Management
1.8   Elect Director Terrence Murray          For       For          Management
1.9   Elect Director C.A. Lance Piccolo       For       For          Management
1.10  Elect Director Sheli Z. Rosenberg       For       For          Management
1.11  Elect Director Thomas M. Ryan           For       For          Management
1.12  Elect Director Richard J. Swift         For       For          Management
2     Ratify Auditors                         For       For          Management
3     Amend Articles/Bylaws/Charter -- Call   Against   For          Shareholder
      Special Meetings
4     Require Independent Board Chairman      Against   For          Shareholder
5     Report on Political Contributions       Against   Against      Shareholder
6     Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation


--------------------------------------------------------------------------------

CYBERONICS, INC.

Ticker:       CYBX           Security ID:  23251P102
Meeting Date: SEP 25, 2008   Meeting Type: Annual
Record Date:  AUG 1, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Guy C. Jackson           For       For          Management
1.2   Elect Director J.E. Laptewicz, Jr.      For       For          Management
1.3   Elect Director Daniel J. Moore          For       For          Management
1.4   Elect Director Hugh M. Morrison         For       For          Management
1.5   Elect Director Alfred J. Novak          For       For          Management
1.6   Elect Director Alan Olsen               For       For          Management
1.7   Elect Director A.L. Rosenthal           For       For          Management
1.8   Elect Director M.J. Strauss             For       For          Management
1.9   Elect Director Reese S. Terry, Jr.      For       For          Management
2     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

DAVITA INC.

Ticker:       DVA            Security ID:  23918K108
Meeting Date: JUN 15, 2009   Meeting Type: Annual
Record Date:  APR 20, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Charles G. Berg          For       For          Management
1.2   Elect Director Willard W. Brittain, Jr. For       For          Management
1.3   Elect Director Paul J. Diaz             For       For          Management
1.4   Elect Director Peter T. Grauer          For       For          Management
1.5   Elect Director John M. Nehra            For       For          Management
1.6   Elect Director William L. Roper         For       For          Management
1.7   Elect Director Kent J. Thiry            For       For          Management
1.8   Elect Director Roger J. Valine          For       For          Management
1.9   Elect Director Richard C. Vaughan       For       For          Management
2     Amend Executive Incentive Bonus Plan    For       For          Management
3     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

DEXCOM INC

Ticker:       DXCM           Security ID:  252131107
Meeting Date: MAY 19, 2009   Meeting Type: Annual
Record Date:  MAR 27, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Terrance H. Gregg        For       For          Management
1.2   Elect Director Kevin Sayer              For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

EXPRESS SCRIPTS, INC.

Ticker:       ESRX           Security ID:  302182100
Meeting Date: MAY 27, 2009   Meeting Type: Annual
Record Date:  MAR 31, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Gary G. Benanav          For       For          Management
1.2   Elect Director Frank J. Borelli         For       For          Management
1.3   Elect Director Maura C. Breen           For       For          Management
1.4   Elect Director Nicholas J. LaHowchic    For       For          Management
1.5   Elect Director Thomas P. Mac Mahon      For       For          Management
1.6   Elect Director Frank Mergenthaler       For       For          Management
1.7   Elect Director Woodrow A Myers, Jr, MD  For       For          Management
1.8   Elect Director John O. Parker, Jr.      For       For          Management
1.9   Elect Director George Paz               For       For          Management
1.10  Elect Director Samuel K. Skinner        For       For          Management
1.11  Elect Director Seymour Sternberg        For       For          Management
1.12  Elect Director Barrett A. Toan          For       For          Management
2     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

GEN-PROBE, INC.

Ticker:       GPRO           Security ID:  36866T103
Meeting Date: MAY 14, 2009   Meeting Type: Annual
Record Date:  MAR 19, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director John W. Brown            For       For          Management
2     Elect Director John C. Martin Ph.D.     For       For          Management
3     Elect Director Henry L. Nordhoff        For       For          Management
4     Amend Omnibus Stock Plan                For       For          Management
5     Ratify Auditors                         For       For          Management
6     Approve Increase in Size of Board       For       For          Management


--------------------------------------------------------------------------------

GENZYME CORP.

Ticker:       GENZ           Security ID:  372917104
Meeting Date: MAY 21, 2009   Meeting Type: Annual
Record Date:  MAR 31, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Douglas A. Berthiaume    For       For          Management
2     Elect Director Gail K. Boudreaux        For       For          Management
3     Elect Director Robert J. Carpenter      For       For          Management
4     Elect Director Charles L. Cooney        For       For          Management
5     Elect Director Victor J. Dzau           For       For          Management
6     Elect Director Connie Mack III          For       For          Management
7     Elect Director Richard F. Syron         For       For          Management
8     Elect Director Henri A. Termeer         For       For          Management
9     Amend Omnibus Stock Plan                For       For          Management
10    Approve Qualified Employee Stock        For       For          Management
      Purchase Plan
11    Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

GILEAD SCIENCES, INC.

Ticker:       GILD           Security ID:  375558103
Meeting Date: MAY 6, 2009    Meeting Type: Annual
Record Date:  MAR 9, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Paul Berg                For       For          Management
1.2   Elect Director John F. Cogan            For       For          Management
1.3   Elect Director Etienne F. Davignon      For       For          Management
1.4   Elect Director James M. Denny           For       For          Management
1.5   Elect Director Carla A. Hills           For       For          Management
1.6   Elect Director John W. Madigan          For       For          Management
1.7   Elect Director John C. Martin           For       For          Management
1.8   Elect Director Gordon E. Moore          For       For          Management
1.9   Elect Director Nicholas G. Moore        For       For          Management
1.10  Elect Director Richard J. Whitley       For       For          Management
1.11  Elect Director Gayle E. Wilson          For       For          Management
2     Ratify Auditors                         For       For          Management
3     Amend Omnibus Stock Plan                For       For          Management


--------------------------------------------------------------------------------

IMMUCOR, INC.

Ticker:       BLUD           Security ID:  452526106
Meeting Date: NOV 13, 2008   Meeting Type: Annual
Record Date:  SEP 17, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director James F. Clouser         For       For          Management
1.2   Elect Director G. De Chirico            For       For          Management
1.3   Elect Director Ralph A. Eatz            For       For          Management
1.4   Elect Director Jack Goldstein           For       For          Management
1.5   Elect Director Hiroshi Hoketsu          For       Withhold     Management
1.6   Elect Director Paul V. Holland          For       For          Management
1.7   Elect Director Ronny B. Lancaster       For       For          Management
1.8   Elect Director Chris E. Perkins         For       For          Management
1.9   Elect Director Joseph E. Rosen          For       For          Management
2     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

INCYTE CORP.

Ticker:       INCY           Security ID:  45337C102
Meeting Date: MAY 19, 2009   Meeting Type: Annual
Record Date:  MAR 27, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Richard U. De Schutter   For       For          Management
1.2   Elect Director Barry M. Ariko           For       For          Management
1.3   Elect Director Julian C. Baker          For       For          Management
1.4   Elect Director Paul A. Brooke           For       For          Management
1.5   Elect Director Paul A. Friedman, M.D.   For       For          Management
1.6   Elect Director John F. Niblack, Ph.D.   For       For          Management
1.7   Elect Director Roy A. Whitfield         For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Amend Non-Employee Director Stock       For       For          Management
      Option Plan
4     Amend Qualified Employee Stock Purchase For       For          Management
      Plan
5     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

INTEGRA LIFESCIENCES HOLDINGS CORP.

Ticker:       IART           Security ID:  457985208
Meeting Date: JUL 9, 2008    Meeting Type: Annual
Record Date:  MAY 22, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Thomas J. Baltimore, Jr. For       For          Management
2     Elect Director Keith Bradley            For       For          Management
3     Elect Director Richard E. Caruso        For       For          Management
4     Elect Director Stuart M. Essig          For       For          Management
5     Elect Director Neal Moszkowski          For       For          Management
6     Elect Director Christian S. Schade      For       For          Management
7     Elect Director James M. Sullivan        For       For          Management
8     Elect Director Anne M. VanLent          For       For          Management
9     Ratify Auditors                         For       For          Management
10    Amend Omnibus Stock Plan                For       For          Management
11    Amend Omnibus Stock Plan                For       For          Management


--------------------------------------------------------------------------------

JOHNSON & JOHNSON

Ticker:       JNJ            Security ID:  478160104
Meeting Date: APR 23, 2009   Meeting Type: Annual
Record Date:  FEB 24, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Mary Sue Coleman         For       For          Management
1.2   Elect Director James G. Cullen          For       For          Management
1.3   Elect Director Michael M.E. Johns       For       For          Management
1.4   Elect Director Arnold G. Langbo         For       For          Management
1.5   Elect Director Susan L. Lindquist       For       For          Management
1.6   Elect Director Leo F. Mullin            For       For          Management
1.7   Elect Director Wiliam D. Perez          For       For          Management
1.8   Elect Director Charles Prince           For       For          Management
1.9   Elect Director David Satcher            For       For          Management
1.10  Elect Director William C. Weldon        For       For          Management
2     Ratify Auditors                         For       For          Management
3     Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation


--------------------------------------------------------------------------------

LABORATORY CORPORATION OF AMERICA HOLDINGS

Ticker:       LH             Security ID:  50540R409
Meeting Date: MAY 6, 2009    Meeting Type: Annual
Record Date:  MAR 13, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Thomas P. Mac Mahon      For       For          Management
2     Elect Director Kerrii B. Anderson       For       For          Management
3     Elect Director Jean-Luc Belingard       For       For          Management
4     Elect Director David P. King            For       For          Management
5     Elect Director Wendy E. Lane            For       For          Management
6     Elect Director Robert E. Mittelstaedt,  For       For          Management
      Jr.
7     Elect Director Arthur H. Rubenstein     For       For          Management
8     Elect Director M. Keith Weikel          For       For          Management
9     Elect Director R. Sanders Williams      For       For          Management
10    Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

MEDASSETS, INC

Ticker:       MDAS           Security ID:  584045108
Meeting Date: OCT 30, 2008   Meeting Type: Annual
Record Date:  SEP 22, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director V.R. Loucks, Jr.         For       For          Management
1.2   Elect Director Earl H. Norman           For       For          Management
1.3   Elect Director John C. Rutherford       For       For          Management
1.4   Elect Director S. Trotman Burman        For       For          Management
2     Ratify Auditors                         For       For          Management
3     Issue Shares in Connection with         For       For          Management
      Acquisition
4     Approve Omnibus Stock Plan              For       Against      Management


--------------------------------------------------------------------------------

MEDCO HEALTH SOLUTIONS, INC.

Ticker:       MHS            Security ID:  58405U102
Meeting Date: MAY 21, 2009   Meeting Type: Annual
Record Date:  MAR 26, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Charles M. Lillis, Ph.D. For       For          Management
2     Elect Director William L. Roper, M.D.   For       For          Management
3     Elect Director David D. Stevens         For       For          Management
4     Ratify Auditors                         For       For          Management
5     Approve Executive Incentive Bonus Plan  For       For          Management


--------------------------------------------------------------------------------

MEDIVATION, INC.

Ticker:       MDVN           Security ID:  58501N101
Meeting Date: JUN 26, 2009   Meeting Type: Annual
Record Date:  APR 29, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Daniel D. Adams          For       For          Management
1.2   Elect Director Gregory H. Bailey, M.D.  For       For          Management
1.3   Elect Director Kim D. Blickenstaff      For       For          Management
1.4   Elect Director David T. Hung, M.D.      For       For          Management
1.5   Elect Director W. Anthony Vernon        For       For          Management
2     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

MEDNAX, INC.

Ticker:       MD             Security ID:  58502B106
Meeting Date: MAY 6, 2009    Meeting Type: Annual
Record Date:  MAR 10, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Cesar L. Alvarez         For       For          Management
1.2   Elect Director Waldemar A Carlo         For       For          Management
1.3   Elect Director Michael B. Fernandez     For       For          Management
1.4   Elect Director Roger K. Freeman         For       For          Management
1.5   Elect Director Paul G. Gabos            For       For          Management
1.6   Elect Director Dany Garcia              For       For          Management
1.7   Elect Director Pascal J. Goldschmidt    For       For          Management
1.8   Elect Director Roger J. Medel           For       For          Management
1.9   Elect Director Manuel Kadre             For       For          Management
1.10  Elect Director Enrique J. Sosa          For       For          Management
2     Ratify Auditors                         For       For          Management
3     Other Business                          For       Against      Management


--------------------------------------------------------------------------------

MEDTRONIC, INC.

Ticker:       MDT            Security ID:  585055106
Meeting Date: AUG 21, 2008   Meeting Type: Annual
Record Date:  JUN 23, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Victor J. Dzau           For       For          Management
1.2   Elect Director William A. Hawkins       For       For          Management
1.3   Elect Director Shirley A. Jackson       For       For          Management
1.4   Elect Director Denise M. O'Leary        For       For          Management
1.5   Elect Director Jean-Pierre Rosso        For       For          Management
1.6   Elect Director Jack W. Schuler          For       For          Management
2     Ratify Auditors                         For       For          Management
3     Approve Omnibus Stock Plan              For       For          Management


--------------------------------------------------------------------------------

MERCK & CO., INC.

Ticker:       MRK            Security ID:  589331107
Meeting Date: APR 28, 2009   Meeting Type: Annual
Record Date:  FEB 27, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director  Leslie A. Brun          For       For          Management
2     Elect Director Thomas R. Cech           For       For          Management
3     Elect Director Richard T. Clark         For       For          Management
4     Elect Director Thomas H. Glocer         For       For          Management
5     Elect Director Steven F. Goldstone      For       For          Management
6     Elect Director William B. Harrison, Jr. For       For          Management
7     Elect Director Harry R. Jacobson        For       For          Management
8     Elect Director William N. Kelley        For       For          Management
9     Elect Director  Rochelle B. Lazarus     For       For          Management
10    Elect Director Carlos E. Represas       For       For          Management
11    Elect Director Thomas E. Shenk          For       For          Management
12    Elect Director  Anne M. Tatlock         For       For          Management
13    Elect Director Samuel O. Thier          For       For          Management
14    Elect Director Wendell P. Weeks         For       For          Management
15    Elect Director  Peter C. Wendell        For       For          Management
16    Ratify Auditors                         For       For          Management
17    Fix Number of Directors                 For       For          Management
18    Amend Bylaws-- Call Special Meetings    Against   For          Shareholder
19    Require Independent Lead Director       Against   Against      Shareholder
20    Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation


--------------------------------------------------------------------------------

MILLIPORE CORP.

Ticker:       MIL            Security ID:  601073109
Meeting Date: MAY 12, 2009   Meeting Type: Annual
Record Date:  MAR 16, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Rolf A. Classon          For       For          Management
1.2   Elect Director Mark Hoffman             For       For          Management
1.3   Elect Director John F. Reno             For       For          Management
1.4   Elect Director Karen E. Welke           For       For          Management
2     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

NANOSPHERE INC

Ticker:       NSPH           Security ID:  63009F105
Meeting Date: JUN 16, 2009   Meeting Type: Annual
Record Date:  APR 20, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director William P. Moffitt, III  For       For          Management
1.2   Elect Director Mark Slezak              For       For          Management
1.3   Elect Director Jeffrey R. Crisan        For       For          Management
1.4   Elect Director Andre de Bruin           For       For          Management
1.5   Elect Director Chad A. Mirkin, Ph.D.    For       For          Management
1.6   Elect Director James J. Nahirny         For       Withhold     Management
1.7   Elect Director Lorin J. Randall         For       For          Management
1.8   Elect Director Sheli Z. Rosenberg       For       For          Management
2     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

NOVARTIS AG

Ticker:       NVS            Security ID:  66987V109
Meeting Date: FEB 24, 2009   Meeting Type: Annual
Record Date:  JAN 23, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       Did Not Vote Management
      Statutory Reports
2     Approve Discharge of Board and Senior   For       Did Not Vote Management
      Management
3     Approve Allocation of Income and        For       Did Not Vote Management
      Dividends of CHF 2 per Share
4     Approve CHF 3 Million Reduction in      For       Did Not Vote Management
      Share Capital via Cancellation of
      Repurchased Shares
5.1   Amend Articles Re: Require Annual       Against   Did Not Vote Shareholder
      Advisory Vote on Remuneration Report,
      incl. Disclosure of Compensation Amount
      Paid to Board of Directors and
      Executive Management
5.2   Amend Corporate Purpose Re:             For       Did Not Vote Management
      Sustainability
5.3   Amend Articles Re: Auditors             For       Did Not Vote Management
6.1   Retirement of Peter Burckhardt and      None      Did Not Vote Management
      William George as Directors
      (Non-Voting)
6.2.1 Reelect Srikant Datar as Director       For       Did Not Vote Management
6.2.2 Reelect Andreas von Planta as Director  For       Did Not Vote Management
6.2.3 Reelect Wendelin Wiedeking as Director  For       Did Not Vote Management
6.2.4 Reelect Rolf Zinkernagel as Director    For       Did Not Vote Management
6.3   Elect William Brody as Director         For       Did Not Vote Management
7     Ratify PricewaterhouseCoopers AG as     For       Did Not Vote Management
      Auditors


--------------------------------------------------------------------------------

OPTIMER PHARMACEUTICALS, INC

Ticker:       OPTR           Security ID:  68401H104
Meeting Date: MAY 6, 2009    Meeting Type: Annual
Record Date:  MAR 13, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Alain B. Schreiber       For       For          Management
1.2   Elect Director Peter E. Grebow          For       For          Management
2     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

PFIZER INC.

Ticker:       PFE            Security ID:  717081103
Meeting Date: APR 23, 2009   Meeting Type: Annual
Record Date:  FEB 24, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Dennis A. Ausiello       For       For          Management
1.2   Elect Director Michael S. Brown         For       For          Management
1.3   Elect Director M. Anthony Burns         For       For          Management
1.4   Elect Director Robert N. Burt           For       For          Management
1.5   Elect Director W. Don Cornwell          For       For          Management
1.6   Elect Director William H. Gray, III     For       For          Management
1.7   Elect Director Constance J. Horner      For       For          Management
1.8   Elect Director James M. Kilts           For       For          Management
1.9   Elect Director Jeffrey B. Kindler       For       For          Management
1.10  Elect Director George A. Lorch          For       For          Management
1.11  Elect Director Dana G. Mead             For       For          Management
1.12  Elect Director Suzanne Nora Johnson     For       For          Management
1.13  Elect Director Stephen W. Sanger        For       For          Management
1.14  Elect Director William C. Steere, Jr.   For       For          Management
2     Ratify Auditors                         For       For          Management
3     Amend Omnibus Stock Plan                For       For          Management
4     Limit/Prohibit Executive Stock-Based    Against   Against      Shareholder
      Awards
5     Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation
6     Provide for Cumulative Voting           Against   Against      Shareholder
7     Amend Bylaws -- Call Special Meetings   Against   For          Shareholder


--------------------------------------------------------------------------------

PONIARD PHARMACEUTICALS INC.

Ticker:       PARD           Security ID:  732449301
Meeting Date: JUN 24, 2009   Meeting Type: Annual
Record Date:  APR 24, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Gerald McMahon           For       For          Management
1.2   Elect Director Robert S. Basso          For       For          Management
1.3   Elect Director Frederick B. Craves      For       For          Management
1.4   Elect Director E. Rolland Dickson       For       For          Management
1.5   Elect Director Carl S. Goldfischer      For       For          Management
1.6   Elect Director Robert M. Littauer       For       For          Management
1.7   Elect Director Ronald A. Martell        For       For          Management
1.8   Elect Director Nicholas J. Simon, III   For       For          Management
1.9   Elect Director David R. Stevens         For       For          Management


--------------------------------------------------------------------------------

QIAGEN N.V.

Ticker:       QGEN           Security ID:  N72482107
Meeting Date: JUN 24, 2009   Meeting Type: Annual
Record Date:  MAY 11, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Open Meeting                            None      Did Not Vote Management
2     Receive Report of Management Board      None      Did Not Vote Management
      (Non-Voting)
3     Receive Report of Supervisory Board     None      Did Not Vote Management
      (Non-Voting)
4     Approve Financial Statements and        For       Did Not Vote Management
      Statutory Reports
5     Receive Explanation on Company's        None      Did Not Vote Management
      Reserves and Dividend Policy
6     Approve Discharge of Management Board   For       Did Not Vote Management
7     Approve Discharge of Supervisory Board  For       Did Not Vote Management
8a    Reelect Detlev Riesner to Supervisory   For       Did Not Vote Management
      Board
8b    Reelect Werner Brandt to Supervisory    For       Did Not Vote Management
      Board
8c    Reelect Metin Colpan to Supervisory     For       Did Not Vote Management
      Board
8d    Reelect Erik Hornnaess to Supervisory   For       Did Not Vote Management
      Board
8e    Reelect Manfred Karobath to Supervisory For       Did Not Vote Management
      Board
8f    Reelect Heino von Prondzynski to        For       Did Not Vote Management
      Supervisory Board
9a    Reelect Peer Schatz to Executive Board  For       Did Not Vote Management
9b    Reelect Roland Sackers to Executive     For       Did Not Vote Management
      Board
9c    Reelect Joachim Schorr to Executive     For       Did Not Vote Management
      Board
9d    Reelect Bernd Uder to Executive Board   For       Did Not Vote Management
10    Ratify Ernst & Young as Auditors        For       Did Not Vote Management
11    Authorize Repurchase of Up to 10        For       Did Not Vote Management
      Percent of Issued Share Capital
12    Allow Questions                         None      Did Not Vote Management
13    Close Meeting                           None      Did Not Vote Management


--------------------------------------------------------------------------------

RIGEL PHARMACEUTICALS, INC

Ticker:       RIGL           Security ID:  766559603
Meeting Date: MAY 28, 2009   Meeting Type: Annual
Record Date:  APR 1, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director James M. Gower           For       For          Management
1.2   Elect Director Gary A. Lyons            For       For          Management
1.3   Elect Director Donald G. Payan, M.D.    For       For          Management
2     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

ST. JUDE MEDICAL, INC.

Ticker:       STJ            Security ID:  790849103
Meeting Date: MAY 8, 2009    Meeting Type: Annual
Record Date:  MAR 11, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director John W. Brown            For       For          Management
1.2   Elect Director Daniel J. Starks         For       For          Management
2     Approve Executive Incentive Bonus Plan  For       For          Management
3     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

TEVA PHARMACEUTICAL INDUSTRIES LTD.

Ticker:       TEVA           Security ID:  881624209
Meeting Date: SEP 25, 2008   Meeting Type: Special
Record Date:  AUG 18, 2008

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Joseph (Yosi) Nitzani as External For       For          Management
      Director


--------------------------------------------------------------------------------

TEVA PHARMACEUTICAL INDUSTRIES LTD.

Ticker:       TEVA           Security ID:  881624209
Meeting Date: JUN 22, 2009   Meeting Type: Annual
Record Date:  MAY 13, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Final Dividend                  For       For          Management
2.1   Elect Phillip Frost as Director         For       For          Management
2.2   Elect Roger Abravanel as Director       For       For          Management
2.3   Elect Elon Kohlberg as Director         For       For          Management
2.4   Elect Yitzhak Peterburg as Director     For       For          Management
2.5   Elect Erez Vigodman as Director         For       For          Management
3     Approve Auditors and Authorize Board to For       For          Management
      Fix Their Remuneration


--------------------------------------------------------------------------------

THERMO FISHER SCIENTIFIC INC.

Ticker:       TMO            Security ID:  883556102
Meeting Date: MAY 20, 2009   Meeting Type: Annual
Record Date:  MAR 27, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Judy C. Lewent           For       For          Management
1.2   Elect Director Peter J. Manning         For       For          Management
1.3   Elect Director Jim P. Manzi             For       For          Management
1.4   Elect Director Elaine S. Ullian         For       For          Management
2     Ratify Auditors                         For       For          Management


--------------------------------------------------------------------------------

UNITEDHEALTH GROUP INCORPORATED

Ticker:       UNH            Security ID:  91324P102
Meeting Date: JUN 2, 2009    Meeting Type: Annual
Record Date:  APR 3, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director William C. Ballard, Jr.  For       For          Management
2     Elect Director Richard T. Burke         For       For          Management
3     Elect Director Robert J. Darretta       For       For          Management
4     Elect Director Stephen J. Hemsley       For       For          Management
5     Elect Director Michele J. Hooper        For       For          Management
6     Elect Director Douglas W. Leatherdale   For       For          Management
7     Elect Director Glenn M. Renwick         For       For          Management
8     Elect Director Kenneth I. Shine, M.D.   For       For          Management
9     Elect Director Gail R. Wilensky, Ph.D.  For       For          Management
10    Ratify Auditors                         For       For          Management
11    Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation


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VCA ANTECH, INC.

Ticker:       WOOF           Security ID:  918194101
Meeting Date: JUN 1, 2009    Meeting Type: Annual
Record Date:  APR 3, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director John M. Baumer           For       For          Management
1.2   Elect Director Frank Reddick            For       For          Management
2     Ratify Auditors                         For       For          Management


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VERTEX PHARMACEUTICALS INC.

Ticker:       VRTX           Security ID:  92532F100
Meeting Date: MAY 14, 2009   Meeting Type: Annual
Record Date:  MAR 17, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Roger W. Brimblecombe    For       For          Management
1.2   Elect Director Bruce I. Sachs           For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Auditors                         For       For          Management


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WELLPOINT, INC.

Ticker:       WLP            Security ID:  94973V107
Meeting Date: MAY 20, 2009   Meeting Type: Annual
Record Date:  MAR 18, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Lenox D. Baker, Jr.,     For       For          Management
      M.D.
2     Elect Director Susan B. Bayh            For       For          Management
3     Elect Director Larry C. Glasscock       For       For          Management
4     Elect Director Julie A. Hill            For       For          Management
5     Elect Director Ramiro G. Peru           For       For          Management
6     Ratify Auditors                         For       For          Management
7     Approve Omnibus Stock Plan              For       For          Management
8     Amend Qualified Employee Stock Purchase For       For          Management
      Plan
9     Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation


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WEST PHARMACEUTICAL SERVICES, INC.

Ticker:       WST            Security ID:  955306105
Meeting Date: MAY 5, 2009    Meeting Type: Annual
Record Date:  MAR 20, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Paula A. Johnson         For       For          Management
1.2   Elect Director Anthony Welters          For       For          Management
1.3   Elect Director Patrick J. Zenner        For       Withhold     Management
2     Ratify Auditors                         For       For          Management

========== END NPX REPORT