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,

55 East 52(nd) Street, New York City, NY 10055.



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



Date of fiscal year end: 10/31



Date of reporting period: 07/01/2009 -- 06/30/2010



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 23, 2010





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

ICA File Number: 811-21702
Reporting Period: 07/01/2009 - 06/30/2010
BlackRock Health Sciences Trust









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


3SBIO INC.

Ticker:       SSRX           Security ID:  88575Y105
Meeting Date: OCT 12, 2009   Meeting Type: Annual
Record Date:  SEP 11, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Reelect Dr. Jing Lou As Director        For       For          Management
2     Reelect Moujia Qi As Director           For       For          Management
3     Ratify Ernst & Young Hua Ming as        For       For          Management
      Auditors


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ABBOTT LABORATORIES

Ticker:       ABT            Security ID:  002824100
Meeting Date: APR 23, 2010   Meeting Type: Annual
Record Date:  FEB 24, 2010

#     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 R.S. Roberts             For       For          Management
1.9   Elect Director S.C. Scott, III          For       For          Management
1.10  Elect Director W.D. Smithburg           For       For          Management
1.11  Elect Director G.F. Tilton              For       For          Management
1.12  Elect Director M.D. White               For       For          Management
2     Ratify Auditors                         For       For          Management
3     Advisory Vote to Ratify Named Executive Against   Against      Shareholder
      Officers' Compensation
4     Amend Articles/Bylaws/Charter -- Call   Against   Against      Shareholder
      Special Meetings


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ABRAXIS BIOSCIENCE INC.

Ticker:       ABII           Security ID:  00383Y102
Meeting Date: DEC 10, 2009   Meeting Type: Annual
Record Date:  OCT 16, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Patrick Soon-Shiong      For       Withhold     Management
1.2   Elect Director Kirk K. Calhoun          For       For          Management
1.3   Elect Director Stephen D. Nimer         For       For          Management
1.4   Elect Director Leonard Shapiro          For       Withhold     Management
1.5   Elect Director David S. Chen            For       For          Management
1.6   Elect Director Leon O. Moulder, Jr.     For       Withhold     Management
2     Ratify Auditors                         For       For          Management


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AETNA INC.

Ticker:       AET            Security ID:  00817Y108
Meeting Date: MAY 21, 2010   Meeting Type: Annual
Record Date:  MAR 19, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Frank M. Clark           For       For          Management
2     Elect Director Betsy Z. Cohen           For       For          Management
3     Elect Director Molly J. Coye            For       For          Management
4     Elect Director Roger N. Farah           For       For          Management
5     Elect Director Barbara Hackman Franklin For       For          Management
6     Elect Director Jeffrey E. Garten        For       For          Management
7     Elect Director Earl G. Graves           For       For          Management
8     Elect Director Gerald Greenwald         For       For          Management
9     Elect Director Ellen M. Hancock         For       For          Management
10    Elect Director Richard J. Harrington    For       For          Management
11    Elect Director Edward J. Ludwig         For       For          Management
12    Elect Director Joseph P. Newhouse       For       For          Management
13    Elect Director Ronald A. Williams       For       For          Management
14    Ratify Auditors                         For       For          Management
15    Approve Omnibus Stock Plan              For       For          Management
16    Approve Non-Employee Director Omnibus   For       For          Management
      Stock Plan
17    Amend Executive Incentive Bonus Plan    For       For          Management
18    Provide for Cumulative Voting           Against   Against      Shareholder
19    Require Independent Board Chairman      Against   Against      Shareholder


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ALCON INC.

Ticker:       ACL            Security ID:  H01301102
Meeting Date: MAY 20, 2010   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2     Approve Allocation of Income and        For       For          Management
      Dividends of CHF 3.95 per Share
3     Approve Discharge of Board and Senior   For       For          Management
      Management
4     Ratify KPMG AG as Auditors              For       For          Management
5     Ratify OBT AG as Special Auditors       For       For          Management
6.1   Amend Articles Re: Share Certificates   For       For          Management
      due to New Swiss Federal Act on
      Intermediated Securities
6.2   Amend Articles Re: Increase Board Terms For       For          Management
      to Four Years
7.1   Reelect Werner Bauer as Director        For       For          Management
7.2   Reelect Francisco Castaner as Director  For       For          Management
7.3   Reelect Lodewijk J.R. de Wink as        For       For          Management
      Director


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ALLERGAN, INC.

Ticker:       AGN            Security ID:  018490102
Meeting Date: APR 29, 2010   Meeting Type: Annual
Record Date:  MAR 4, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Michael R. Gallagher     For       For          Management
2     Elect Director Gavin S. Herbert         For       For          Management
3     Elect Director Dawn Hudson              For       For          Management
4     Elect Director Stephen J. Ryan, MD      For       For          Management
5     Ratify Auditors                         For       For          Management
6     Reduce Supermajority Vote Requirement   For       For          Management
      Relating to the Removal of Directors
7     Reduce Supermajority Vote Requirement   For       For          Management
      Relating to Business Combinations
8     Reduce Supermajority Vote Requirement   For       For          Management
      Relating to Amendments to Certificate
      of Incorporation
9     Amend Articles of Incorporation to      For       For          Management
      Update and Simplify Provisions


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ALLSCRIPTS-MISYS HEALTHCARE SOLUTIONS, INC.

Ticker:       MDRX           Security ID:  01988P108
Meeting Date: OCT 8, 2009    Meeting Type: Annual
Record Date:  AUG 17, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Kelly J. Barlow          For       For          Management
1.2   Elect Director Sir Dominic Cadbury      For       For          Management
1.3   Elect Director Cory A. Eaves            For       For          Management
1.4   Elect Director Marcel L. "Gus" Gamache  For       For          Management
1.5   Elect Director Philip D. Green          For       For          Management
1.6   Elect Director John King                For       For          Management
1.7   Elect Director Michael J. Kluger        For       For          Management
1.8   Elect Director Mike Lawrie              For       Withhold     Management
1.9   Elect Director Glen E. Tullman          For       For          Management
2     Approve Executive Incentive Bonus Plan  For       Against      Management
3     Amend Omnibus Stock Plan                For       For          Management
4     Amend Omnibus Stock Plan                For       Against      Management
5     Ratify Auditors                         For       For          Management


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AMERISOURCEBERGEN CORP

Ticker:       ABC            Security ID:  03073E105
Meeting Date: MAR 4, 2010    Meeting Type: Annual
Record Date:  JAN 4, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Richard W. Gochnauer     For       For          Management
1.2   Elect Director Edward E. Hagenlocker    For       For          Management
1.3   Elect Director Henry W. McGee           For       For          Management
2     Reduce Supermajority Vote Requirement   For       For          Management
3     Ratify Auditors                         For       For          Management


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AMGEN, INC.

Ticker:       AMGN           Security ID:  031162100
Meeting Date: MAY 12, 2010   Meeting Type: Annual
Record Date:  MAR 15, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Dr. 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 Dr. Vance D. Coffman     For       For          Management
6     Elect Director Frederick W. Gluck       For       For          Management
7     Elect Director Dr. Rebecca M. Henderson For       For          Management
8     Elect Director Frank C. Herringer       For       Against      Management
9     Elect Director Dr. Gilbert S. Omenn     For       For          Management
10    Elect Director Judith C. Pelham         For       For          Management
11    Elect Director Adm. J. Paul Reason, USN For       For          Management
      (Retired)
12    Elect Director Leonard D. Schaeffer     For       For          Management
13    Elect Director Kevin W. Sharer          For       For          Management
14    Ratify Auditors                         For       For          Management
15    Provide Right to Act by Written Consent Against   For          Shareholder
16    Stock Retention/Holding Period          Against   Against      Shareholder


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BAXTER INTERNATIONAL INC.

Ticker:       BAX            Security ID:  071813109
Meeting Date: MAY 4, 2010    Meeting Type: Annual
Record Date:  MAR 8, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Blake E. Devitt          For       For          Management
2     Elect Director John D. Forsyth          For       For          Management
3     Elect Director Gail D. Fosler           For       For          Management
4     Elect Director Carole J. Shapazian      For       For          Management
5     Ratify Auditors                         For       For          Management
6     Reduce Supermajority Vote Requirement   Against   For          Shareholder


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BECKMAN COULTER, INC.

Ticker:       BEC            Security ID:  075811109
Meeting Date: APR 22, 2010   Meeting Type: Annual
Record Date:  FEB 22, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Robert G. Funari         For       For          Management
1.2   Elect Director Charles A. Haggerty      For       For          Management
1.3   Elect Director William N. Kelly, Ph.D.  For       For          Management
2     Ratify Auditors                         For       For          Management


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BECTON, DICKINSON AND COMPANY

Ticker:       BDX            Security ID:  075887109
Meeting Date: FEB 2, 2010    Meeting Type: Annual
Record Date:  DEC 11, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Henry P. Becton, Jr.     For       For          Management
1.2   Elect Director Edward F. Degraan        For       For          Management
1.3   Elect Director Claire M. Fraser-liggett For       For          Management
1.4   Elect Director Edward J. Ludwig         For       For          Management
1.5   Elect Director Adel A.F. Mahmoud        For       For          Management
1.6   Elect Director James F. Orr             For       For          Management
1.7   Elect Director Willard J. Overlock, Jr. For       For          Management
1.8   Elect Director Bertram L. Scott         For       For          Management
2     Ratify Auditors                         For       For          Management
3     Company-Specific--Approval Of A By-law  For       For          Management
      Amendment Regarding Special
      Shareholdermeetings
4     Amend Omnibus Stock Plan                For       For          Management
5     Approve Executive Incentive Bonus Plan  For       For          Management
6     Require a Majority Vote for the         Against   Against      Shareholder
      Election of Directors
7     Provide for Cumulative Voting           Against   Against      Shareholder


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BIOFORM MEDICAL, INC.

Ticker:       BFRM           Security ID:  09065G107
Meeting Date: DEC 10, 2009   Meeting Type: Annual
Record Date:  OCT 16, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Christopher Dennis       For       For          Management
1.2   Elect Director Jeffrey Nugent           For       For          Management
1.3   Elect Director Martin Sutter            For       For          Management
2     Ratify Auditors                         For       For          Management


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BIOGEN IDEC INC.

Ticker:       BIIB           Security ID:  09062X103
Meeting Date: JUN 9, 2010    Meeting Type: Annual
Record Date:  APR 19, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Nancy L. Leaming         For       For          Management
2     Elect Director Brian S. Posner          For       For          Management
3     Elect Director Eric K. Rowinsky         For       For          Management
4     Elect Director Stephen A. Sherwin       For       For          Management
5     Ratify Auditors                         For       For          Management
6     Amend Non-Employee Director Omnibus     For       For          Management
      Stock Plan


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BIOMARIN PHARMACEUTICAL INC.

Ticker:       BMRN           Security ID:  09061G101
Meeting Date: MAY 12, 2010   Meeting Type: Annual
Record Date:  MAR 19, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Jean-Jacques Bienaime    For       For          Management
1.2   Elect Director Miachael Grey            For       For          Management
1.3   Elect Director Elaine J. Heron, Ph.D.   For       For          Management
1.4   Elect Director Pierre Lapalme           For       For          Management
1.5   Elect Director V. Bryan Lawlis, Ph.D.   For       For          Management
1.6   Elect Director Alan J. Lewis, Ph.D.     For       For          Management
1.7   Elect Director Richard Meier            For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Auditors                         For       For          Management


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BLACKROCK  ENERGY AND RESOURCES TRUST

Ticker:       BGR            Security ID:  09250U101
Meeting Date: AUG 26, 2009   Meeting Type: Annual
Record Date:  JUN 29, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Trustee Richard S. Davis          For       For          Management
1.2   Elect Trustee Frank J. Fabozzi          For       For          Management
1.3   Elect Trustee James T. Flynn            For       For          Management
1.4   Elect Trustee Karen P. Robards          For       For          Management


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BLACKROCK  FLOATING RATE INCOME TRUST

Ticker:       BGT            Security ID:  091941104
Meeting Date: AUG 26, 2009   Meeting Type: Annual
Record Date:  JUN 29, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Trustee Richard S. Davis          For       For          Management
1.2   Elect Trustee James T. Flynn            For       For          Management
1.3   Elect Trustee Karen P. Robards          For       For          Management


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BLACKROCK CORPORATE HIGH YIELD FUND VI INC

Ticker:       HYT            Security ID:  09255P107
Meeting Date: AUG 26, 2009   Meeting Type: Annual
Record Date:  JUN 29, 2009

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


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BLACKROCK ENHANCED DIVIDEND ACHIEVERS TRUST

Ticker:       BDJ            Security ID:  09251A104
Meeting Date: AUG 26, 2009   Meeting Type: Annual
Record Date:  JUN 29, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Trustee Richard S. Davis          For       For          Management
1.2   Elect Trustee Frank J. Fabozzi          For       For          Management
1.3   Elect Trustee James T. Flynn            For       For          Management
1.4   Elect Trustee Karen P. Robards          For       For          Management


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BLACKROCK INTERNATIONAL GROWTH AND INCOME TRUST

Ticker:       BGY            Security ID:  092524107
Meeting Date: AUG 26, 2009   Meeting Type: Annual
Record Date:  JUN 29, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Trustee Richard S. Davis          For       For          Management
1.2   Elect Trustee Frank J. Fabozzi          For       For          Management
1.3   Elect Trustee James T. Flynn            For       For          Management
1.4   Elect Trustee Karen P. Robards          For       For          Management


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BLACKROCK LIMITED DURATION INCOME TRUST

Ticker:       BLW            Security ID:  09249W101
Meeting Date: AUG 26, 2009   Meeting Type: Annual
Record Date:  JUN 29, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Trustee Richard S. Davis          For       For          Management
1.2   Elect Trustee Frank J. Fabozzi          For       For          Management
1.3   Elect Trustee James T. Flynn            For       For          Management
1.4   Elect Trustee Karen P. Robards          For       For          Management


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BLACKROCK PREFERRED & EQUITY ADVANTAGE TRUST

Ticker:       BTZ            Security ID:  092508100
Meeting Date: AUG 26, 2009   Meeting Type: Annual
Record Date:  JUN 29, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Trustee Richard S. Davis          For       For          Management
1.2   Elect Trustee James T. Flynn            For       For          Management
1.3   Elect Trustee Karen P. Robards          For       For          Management


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BLACKROCK PREFERRED INCOME STRATEGIES FUND INC

Ticker:       PSY            Security ID:  09255H105
Meeting Date: AUG 26, 2009   Meeting Type: Annual
Record Date:  JUN 29, 2009

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


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BRISTOL-MYERS SQUIBB COMPANY

Ticker:       BMY            Security ID:  110122108
Meeting Date: MAY 4, 2010    Meeting Type: Annual
Record Date:  MAR 11, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Lamberto Andreotti       For       For          Management
2     Elect Director Lewis B. Campbell        For       For          Management
3     Elect Director James M. Cornelius       For       For          Management
4     Elect Director Louis J. Freeh           For       Against      Management
5     Elect Director Laurie H. Glimcher, M.D  For       For          Management
6     Elect Director Michael Grobstein        For       For          Management
7     Elect Director Leif Johansson           For       For          Management
8     Elect Director Alan J. Lacy             For       For          Management
9     Elect Director Vicki L. Sato, Ph.D.     For       For          Management
10    Elect Director Togo D. West, Jr.        For       For          Management
11    Elect Director R. Sanders Williams,     For       For          Management
      M.D.
12    Ratify Auditors                         For       For          Management
13    Provide Right to Call Special Meeting   For       For          Management
14    Reduce Supermajority Vote Requirements  For       For          Management
      Applicable to Common Stock
15    Reduce Supermajority Vote Requirement   For       For          Management
      Applicable to Preferred Stock
16    Increase Disclosure of Executive        Against   Against      Shareholder
      Compensation
17    Provide Right to Act by Written Consent Against   Against      Shareholder
18    Report and Set Goals Related to Animal  Against   Against      Shareholder
      Use and Testing


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C. R. BARD, INC.

Ticker:       BCR            Security ID:  067383109
Meeting Date: APR 21, 2010   Meeting Type: Annual
Record Date:  MAR 1, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Theodore E. Martin       For       For          Management
1.2   Elect Director Anthony Welters          For       For          Management
1.3   Elect Director Tony L. White            For       For          Management
1.4   Elect Director David M. Barrett, Ph.D.  For       For          Management
1.5   Elect Director John C. Kelly            For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Auditors                         For       For          Management
4     Prepare Sustainability Report           Against   Against      Shareholder


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CELGENE CORPORATION

Ticker:       CELG           Security ID:  151020104
Meeting Date: JUN 16, 2010   Meeting Type: Annual
Record Date:  APR 20, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Sol J. Barer             For       For          Management
1.2   Elect Director Robert J. Hugin          For       For          Management
1.3   Elect Director Michael D. Casey         For       For          Management
1.4   Elect Director Carrie S. Cox            For       Withhold     Management
1.5   Elect Director Rodman L. Drake          For       For          Management
1.6   Elect Director Gilla Kaplan             For       Withhold     Management
1.7   Elect Director James J. Loughlin        For       Withhold     Management
1.8   Elect Director Ernest Mario             For       For          Management
1.9   Elect Director Walter L. Robb           For       Withhold     Management
2     Ratify Auditors                         For       For          Management


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CEPHALON, INC.

Ticker:       CEPH           Security ID:  156708109
Meeting Date: MAY 20, 2010   Meeting Type: Annual
Record Date:  MAR 25, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Frank Baldino, Jr.,      For       For          Management
      Ph.D.
1.2   Elect Director William P. Egan          For       For          Management
1.3   Elect Director Martyn D. Greenacre      For       For          Management
1.4   Elect Director Vaughn M. Kailian        For       For          Management
1.5   Elect Director Kevin E. Moley           For       For          Management
1.6   Elect Director Charles A. Sanders, M.D. For       For          Management
1.7   Elect Director Gail R. Wilensky, Ph.D.  For       For          Management
1.8   Elect Director Dennis L. Winger         For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Approve Qualified Employee Stock        For       For          Management
      Purchase Plan
4     Ratify Auditors                         For       For          Management


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CERNER CORPORATION

Ticker:       CERN           Security ID:  156782104
Meeting Date: MAY 28, 2010   Meeting Type: Annual
Record Date:  APR 1, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Gerald E Bisbee Jr.      For       For          Management
1.2   Elect Director Linda M. Dillman         For       For          Management
2     Ratify Auditors                         For       For          Management
3     Amend Executive Incentive Bonus Plan    For       For          Management


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CIGNA CORPORATION

Ticker:       CI             Security ID:  125509109
Meeting Date: APR 28, 2010   Meeting Type: Annual
Record Date:  MAR 1, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director David M. Cordani         For       For          Management
2     Elect Director Isaiah Harris, Jr.       For       For          Management
3     Elect Director Jane E. Henney, M.D.     For       For          Management
4     Elect Director Donna F. Zarcone         For       For          Management
5     Ratify Auditors                         For       For          Management
6     Amend Omnibus Stock Plan                For       For          Management
7     Approve Non-Employee Director Omnibus   For       For          Management
      Stock Plan


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COMMUNITY HEALTH SYSTEMS, INC.

Ticker:       CYH            Security ID:  203668108
Meeting Date: MAY 18, 2010   Meeting Type: Annual
Record Date:  MAR 31, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Declassify the Board of Directors       For       For          Management
2     Elect Director W. Larry Cash            For       For          Management
3     Elect Director H. Mitchell Watson, Jr.  For       For          Management
4     Ratify Auditors                         For       For          Management


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COOPER COMPANIES, INC., THE

Ticker:       COO            Security ID:  216648402
Meeting Date: MAR 17, 2010   Meeting Type: Annual
Record Date:  JAN 29, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director A. Thomas Bender         For       For          Management
1.2   Elect Director Michael H. Kalkstein     For       For          Management
1.3   Elect Director Jody S. Lindell          For       For          Management
1.4   Elect Director Donald Press             For       For          Management
1.5   Elect Director Steven Rosenberg         For       For          Management
1.6   Elect Director Allan E. Rubenstein,     For       For          Management
      M.D.
1.7   Elect Director Robert S. Weiss          For       For          Management
1.8   Elect Director Stanley Zinberg, M.D.    For       For          Management
2     Ratify Auditors                         For       For          Management
3     Require a Majority Vote for the         Against   For          Shareholder
      Election of Directors


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COVIDIEN PLC

Ticker:       COV            Security ID:  G2554F105
Meeting Date: MAR 16, 2010   Meeting Type: Annual
Record Date:  JAN 13, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2a    Elect Craig Arnold as Director          For       For          Management
2b    Elect Robert H. Brust as Director       For       For          Management
2c    Elect John M. Connors, Jr. as Director  For       For          Management
2d    Elect Christopher J. Coughlin as        For       For          Management
      Director
2e    Elect Timothy M. Donahue as Director    For       For          Management
2f    Elect Kathy J. Herbert as Director      For       For          Management
2g    Elect Randall J. Hogan, III as Director For       For          Management
2h    Elect Richard J. Meelia as Director     For       For          Management
2i    Elect Dennis H. Reilley as Director     For       For          Management
2j    Elect Tadataka Yamada as Director       For       For          Management
2k    Elect Joseph A. Zaccagnino as Director  For       For          Management
3     Approve Deloitte & Touche LLP as        For       For          Management
      Auditors and Authorize Board to Fix
      Their Remuneration Auditors
4     Authorize Share Repurchase Program      For       For          Management
5     Authorize Reissuance of Treasury Shares For       For          Management


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DAVITA INC.

Ticker:       DVA            Security ID:  23918K108
Meeting Date: JUN 7, 2010    Meeting Type: Annual
Record Date:  APR 13, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Pamela M. Arway          For       For          Management
2     Elect Director Charles G. Berg          For       For          Management
3     Elect Director Willard W. Brittain, Jr. For       For          Management
4     Elect Director Paul J. Diaz             For       For          Management
5     Elect Director Peter T. Grauer          For       For          Management
6     Elect Director John M. Nehra            For       For          Management
7     Elect Director William L. Roper         For       For          Management
8     Elect Director Kent J. Thiry            For       For          Management
9     Elect Director Roger J. Valine          For       For          Management
10    Amend Omnibus Stock Plan                For       For          Management
11    Ratify Auditors                         For       For          Management
12    Provide Right to Act by Written Consent Against   For          Shareholder


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

DENDREON CORPORATION

Ticker:       DNDN           Security ID:  24823Q107
Meeting Date: JUN 2, 2010    Meeting Type: Annual
Record Date:  APR 16, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Gerardo Canet            For       For          Management
1.2   Elect Director Bogdan Dziurzynski       For       For          Management
1.3   Elect Director Douglas G. Watson        For       For          Management
2     Ratify Auditors                         For       For          Management


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

EDWARDS LIFESCIENCES CORPORATION

Ticker:       EW             Security ID:  28176E108
Meeting Date: MAY 13, 2010   Meeting Type: Annual
Record Date:  MAR 15, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Election Director Robert A. Ingram      For       For          Management
2     Election Director William J. Link,      For       For          Management
      Ph.d.
3     Election Director Wesley W. Von Schack  For       For          Management
4     Amend Omnibus Stock Plan                For       For          Management
5     Approve Non-Employee Director Omnibus   For       For          Management
      Stock Plan
6     Approve/Amend Executive Incentive Bonus For       For          Management
      Plan
7     Ratify Auditors                         For       For          Management


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

ELI LILLY AND COMPANY

Ticker:       LLY            Security ID:  532457108
Meeting Date: APR 19, 2010   Meeting Type: Annual
Record Date:  FEB 12, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director R. Alvarez               For       For          Management
2     Elect Director W. Bischoff              For       For          Management
3     Elect Director R.D. Hoover              For       For          Management
4     Elect Director F.G. Prendergast         For       For          Management
5     Elect Director K.P. Seifert             For       For          Management
6     Ratify Auditors                         For       For          Management
7     Declassify the Board of Directors       For       For          Management
8     Reduce Supermajority Vote Requirement   For       For          Management
9     Amend Articles/Bylaws/Charter -- Call   Against   Against      Shareholder
      Special Meetings
10    Prohibit CEOs from Serving on           Against   Against      Shareholder
      Compensation Committee
11    Advisory Vote to Ratify Named Executive Against   Against      Shareholder
      Officers' Compensation
12    Stock Retention/Holding Period          Against   Against      Shareholder


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

EXPRESS SCRIPTS, INC.

Ticker:       ESRX           Security ID:  302182100
Meeting Date: MAY 5, 2010    Meeting Type: Annual
Record Date:  MAR 8, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Gary G. Benanav          For       For          Management
2     Elect Director Frank J. Borelli         For       For          Management
3     Elect Director Maura C. Breen           For       For          Management
4     Elect Director Nicholas J. LaHowchic    For       For          Management
5     Elect Director Thomas P. Mac Mahon      For       For          Management
6     Elect Director Frank Mergenthaler       For       For          Management
7     Elect Director Woodrow A Myers, Jr.,    For       For          Management
      M.D.
8     Elect Director John O. Parker, Jr.      For       For          Management
9     Elect Director George Paz               For       For          Management
10    Elect Director Samuel K. Skinner        For       For          Management
11    Elect Director Seymour Sternberg        For       For          Management
12    Elect Director Barrett A. Toan          For       For          Management
13    Ratify Auditors                         For       For          Management
14    Report on Political Contributions       Against   Against      Shareholder
15    Require Independent Board Chairman      Against   Against      Shareholder


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

GEN-PROBE INCORPORATED

Ticker:       GPRO           Security ID:  36866T103
Meeting Date: MAY 13, 2010   Meeting Type: Annual
Record Date:  MAR 19, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director  Carl W. Hull            For       For          Management
2     Elect Director Armin M. Kessler         For       For          Management
3     Elect Director  Lucy Shapiro, Ph.d.     For       For          Management
4     Ratify Auditors                         For       For          Management
5     Ratify Election of Brian A. McNamee     For       For          Management


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

GENZYME CORPORATION

Ticker:       GENZ           Security ID:  372917104
Meeting Date: JUN 16, 2010   Meeting Type: Proxy Contest
Record Date:  APR 9, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
      Management Proxy (White Card)           None      None
1.1   Elect Director Douglas A. Berthiaume    For       For          Management
1.2   Elect Director Robert J. Bertolini      For       For          Management
1.3   Elect Director Gail K. Boudreaux        For       For          Management
1.4   Elect Director Robert J. Carpenter      For       For          Management
1.5   Elect Director Charles L. Cooney        For       For          Management
1.6   Elect Director Victor J. Dzau           For       For          Management
1.7   Elect Director Connie Mack, III         For       For          Management
1.8   Elect Director Richard F. Syron         For       Withhold     Management
1.9   Elect Director Henri A. Termeer         For       For          Management
1.10  Elect Director Ralph V. Whitworth       For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Amend Qualified Employee Stock Purchase For       For          Management
      Plan
4     Amend Non-Employee Director Omnibus     For       For          Management
      Stock Plan
5     Provide Right to Call Special Meeting   For       For          Management
6     Ratify Auditors                         For       For          Management

#     Proposal                                Diss Rec  Vote Cast    Sponsor
      Dissident Proxy (Gold Card)             None      None
1.1   Elect Director Steven Burakoff          For       Did Not Vote Shareholder
1.2   Elect Director Alexander J. Denner      For       Did Not Vote Shareholder
1.3   Elect Director Carl C. Icahn            For       Did Not Vote Shareholder
1.4   Elect Director Richard Mulligan         For       Did Not Vote Shareholder
1.5   Management Nominee - Douglas A.         For       Did Not Vote Shareholder
      Berthiaume
1.6   Management Nominee - Robert J.          For       Did Not Vote Shareholder
      Bertolini
1.7   Management Nominee - Gail K. Boudreaux  For       Did Not Vote Shareholder
1.8   Management Nominee - Robert J.          For       Did Not Vote Shareholder
      Carpenter
1.9   Management Nominee - Victor J. Dzau     For       Did Not Vote Shareholder
1.10  Management Nominee - Ralph V. Whitworth For       Did Not Vote Shareholder
2     Amend Omnibus Stock Plan                For       Did Not Vote Management
3     Amend Qualified Employee Stock Purchase For       Did Not Vote Management
      Plan
4     Amend Non-Employee Director Omnibus     Against   Did Not Vote Management
      Stock Plan
5     Provide Right to Call Special Meeting   For       Did Not Vote Management
6     Ratify Auditors                         For       Did Not Vote Management


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

GILEAD SCIENCES, INC.

Ticker:       GILD           Security ID:  375558103
Meeting Date: MAY 11, 2010   Meeting Type: Annual
Record Date:  MAR 15, 2010

#     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 Kevin E. Lofton          For       For          Management
1.7   Elect Director John W. Madigan          For       For          Management
1.8   Elect Director John C. Martin           For       For          Management
1.9   Elect Director Gordon E. Moore          For       For          Management
1.10  Elect Director Nicholas G. Moore        For       For          Management
1.11  Elect Director Richard J. Whitley       For       For          Management
1.12  Elect Director Gayle E. Wilson          For       For          Management
1.13  Elect Director Per Wold-Olsen           For       For          Management
2     Ratify Auditors                         For       For          Management
3     Reduce Supermajority Vote Requirement   Against   For          Shareholder


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

HENRY SCHEIN, INC.

Ticker:       HSIC           Security ID:  806407102
Meeting Date: MAY 10, 2010   Meeting Type: Annual
Record Date:  MAR 12, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Stanley M Bergman        For       For          Management
1.2   Elect Director Gerald A Benjamin        For       For          Management
1.3   Elect Director James P Breslawski       For       For          Management
1.4   Elect Director Mark E Mlotek            For       For          Management
1.5   Elect Director Steven Paladino          For       For          Management
1.6   Elect Director Barry J Alperin          For       For          Management
1.7   Elect Director Paul Brons               For       For          Management
1.8   Elect Director Donald J Kabat           For       For          Management
1.9   Elect Director Philip A Laskawy         For       For          Management
1.10  Elect Director Karyn Mashima            For       For          Management
1.11  Elect Director Norman S Matthews        For       For          Management
1.12  Elect Director Bradley T Sheares, PhD   For       For          Management
1.13  Elect Director Louis W Sullivan, MD     For       For          Management
2     Amend Non-Employee Director Omnibus     For       For          Management
      Stock Plan
3     Ratify Auditors                         For       For          Management


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

HILL-ROM HOLDINGS, INC.

Ticker:       HRC            Security ID:  431475102
Meeting Date: MAR 4, 2010    Meeting Type: Annual
Record Date:  DEC 28, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director James R. Giertz          For       For          Management
1.2   Elect Director Katherine S. Napier      For       For          Management
1.3   Elect Director Ronald A. Malone         For       For          Management
1.4   Elect Director Eduardo R. Menasce       For       For          Management
1.5   Elect Director John J. Greisch          For       For          Management
2     Declassify the Board of Directors       For       For          Management
3     Reduce Supermajority Vote Requirement   For       For          Management
4     Advisory Vote to Ratify Named Executive For       For          Management
      Officers' Compensation
5     Ratify Auditors                         For       For          Management


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

HUMAN GENOME SCIENCES, INC.

Ticker:       HGSI           Security ID:  444903108
Meeting Date: MAY 20, 2010   Meeting Type: Annual
Record Date:  MAR 26, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Richard J. Danzig        For       For          Management
1.2   Elect Director Jurgen Drews             For       For          Management
1.3   Elect Director Maxine Gowen             For       For          Management
1.4   Elect Director Tuan Ha-Ngoc             For       For          Management
1.5   Elect Director A. N. 'Jerry' Karabelas  For       For          Management
1.6   Elect Director John L. LaMattina        For       For          Management
1.7   Elect Director Augustine Lawlor         For       For          Management
1.8   Elect Director H. Thomas Watkins        For       For          Management
1.9   Elect Director Robert C. Young          For       For          Management
2     Ratify Auditors                         For       For          Management


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

ICON PLC

Ticker:       IJF            Security ID:  45103T107
Meeting Date: JUL 20, 2009   Meeting Type: Annual
Record Date:  JUN 10, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       For          Management
      Statutory Reports
2     Reelect Ronan Lambe                     For       For          Management
3     Reelect Peter Gray                      For       For          Management
4     Reelect Anthony Murphy                  For       For          Management
5     Authorize Board to Fix Remuneration of  For       For          Management
      Auditors
6     Authorize Issuance of Equity or         For       For          Management
      Equity-Linked Securities with
      Preemptive Rights
7     Authorize Issuance of Equity or         For       Against      Management
      Equity-Linked Securities without
      Preemptive Rights
8     Authorize Share Repurchase Program and  For       For          Management
      Reissuance of Shares


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

IMMUNOGEN, INC.

Ticker:       IMGN           Security ID:  45253H101
Meeting Date: NOV 11, 2009   Meeting Type: Annual
Record Date:  SEP 16, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Fix Number of Directors at Nine         For       For          Management
2.1   Elect Director Mitchel Sayare, Ph.d.    For       For          Management
2.2   Elect Director David W. Carter          For       For          Management
2.3   Elect Director Mark Skaletsky           For       For          Management
2.4   Elect Director J.j. Villafranca         For       For          Management
2.5   Elect Director Nicole Onetto            For       For          Management
2.6   Elect Director Stephen C. Mccluski      For       For          Management
2.7   Elect Director Richard J. Wallace       For       For          Management
2.8   Elect Director Daniel M. Junius         For       For          Management
2.9   Elect Director Howard H. Pien           For       For          Management
3     Increase Authorized Common Stock        For       For          Management


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

INCYTE CORPORATION

Ticker:       INCY           Security ID:  45337C102
Meeting Date: NOV 24, 2009   Meeting Type: Special
Record Date:  OCT 26, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Increase Authorized Common Stock        For       For          Management
2     Adjourn Meeting                         For       For          Management


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

INCYTE CORPORATION

Ticker:       INCY           Security ID:  45337C102
Meeting Date: MAY 18, 2010   Meeting Type: Annual
Record Date:  APR 1, 2010

#     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         For       For          Management
1.6   Elect Director John F. Niblack          For       For          Management
1.7   Elect Director Roy A. Whitfield         For       For          Management
2     Approve Omnibus Stock Plan              For       For          Management
3     Amend Qualified Employee Stock Purchase For       For          Management
      Plan
4     Ratify Auditors                         For       For          Management


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

JOHNSON & JOHNSON

Ticker:       JNJ            Security ID:  478160104
Meeting Date: APR 22, 2010   Meeting Type: Annual
Record Date:  FEB 23, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Mary Sue Coleman         For       Against      Management
2     Elect Director James G. Culien          For       For          Management
3     Elect Director Michael M. E. Johns      For       Against      Management
4     Elect Director Susan L. Lindquist       For       For          Management
5     Elect Director Anne M. Mulcahy          For       For          Management
6     Elect Director Lea F. Mullin            For       For          Management
7     Elect Director William D. Perez         For       For          Management
8     Elect Director Charles Prince           For       For          Management
9     Elect Director David Satcher            For       For          Management
10    Elect Director William C. Welcon        For       For          Management
11    Ratify Auditors                         For       For          Management
12    Advisory Vote to Ratify Named Executive Against   Against      Shareholder
      Officers' Compensation
13    Amend Articles/Bylaws/Charter -- Call   Against   Against      Shareholder
      Special Meetings


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

LIFE TECHNOLOGIES CORPORATION

Ticker:       LIFE           Security ID:  53217V109
Meeting Date: APR 29, 2010   Meeting Type: Annual
Record Date:  MAR 1, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director George F. Adam, Jr.      For       For          Management
1.2   Elect Director Raymond V. Dittamore     For       For          Management
1.3   Elect Director Arnold J. Levine, Ph.D.  For       For          Management
1.4   Elect Director Bradley G. Lorimier      For       For          Management
1.5   Elect Director David C. U'Prichard,     For       For          Management
      Ph.D.
2     Ratify Auditors                         For       For          Management
3     Adopt Majority Voting for Uncontested   For       For          Management
      Election of Directors
4     Eliminate Supermajority Vote            For       For          Management
      Requirement
5     Adopt Majority Voting for Uncontested   For       For          Management
      Election of Directors
6     Eliminate Supermajority Vote            For       For          Management
      Requirement
7     Approve Executive Incentive Bonus Plan  For       For          Management


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

MCKESSON CORPORATION

Ticker:       MCK            Security ID:  58155Q103
Meeting Date: JUL 22, 2009   Meeting Type: Annual
Record Date:  MAY 29, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Andy D. Bryant           For       For          Management
1.2   Elect Director Wayne A. Budd            For       For          Management
1.3   Elect Director John H. Hammergren       For       For          Management
1.4   Elect Director Alton F. Irby, III       For       For          Management
1.5   Elect Director M. Christine Jacobs      For       For          Management
1.6   Elect Director Marie L. Knowles         For       For          Management
1.7   Elect Director David M. Lawrence        For       For          Management
1.8   Elect Director Edward A. Mueller        For       For          Management
1.9   Elect Director Jane E. Shaw             For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Auditors                         For       For          Management
4     Stock Retention/Holding Period          Against   For          Shareholder
5     Adopt a Policy in which the Company     Against   For          Shareholder
      will not Make or Promise to Make Any
      Death Benefit Payments to Senior
      Executives


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

MEDCO HEALTH SOLUTIONS, INC.

Ticker:       MHS            Security ID:  58405U102
Meeting Date: MAY 12, 2010   Meeting Type: Annual
Record Date:  MAR 15, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Howard W. Barker, Jr.    For       For          Management
2     Elect Director John L. Cassis           For       For          Management
3     Elect Director Michael Goldstein        For       For          Management
4     Elect Director Charles M. Lillis        For       For          Management
5     Elect Director Myrtle S. Potter         For       For          Management
6     Elect Director William L. Roper         For       For          Management
7     Elect Director David B. Snow, Jr.       For       For          Management
8     Elect Director David D. Stevens         For       For          Management
9     Elect Director Blenda J. Wilson         For       For          Management
10    Ratify Auditors                         For       For          Management
11    Provide Right to Call Special Meeting   For       For          Management


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

MEDNAX, INC.

Ticker:       MD             Security ID:  58502B106
Meeting Date: MAY 6, 2010    Meeting Type: Annual
Record Date:  MAR 9, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Cesar L. Alvarez         For       For          Management
1.2   Elect Director Waldemar A. Carlo, M.D.  For       For          Management
1.3   Elect Director Michael B. Fernandez     For       For          Management
1.4   Elect Director Roger K. Freeman, M.D.   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
      M.D.
1.8   Elect Director Manuel Kadre             For       For          Management
1.9   Elect Director Roger J. Medel, M.D.     For       For          Management
1.10  Elect Director Donna E. Shalala, Ph.D.  For       For          Management
1.11  Elect Director Enrique J. Sosa, Ph.D.   For       For          Management
2     Ratify Auditors                         For       For          Management


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

MEDTRONIC, INC.

Ticker:       MDT            Security ID:  585055106
Meeting Date: AUG 27, 2009   Meeting Type: Annual
Record Date:  JUN 29, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Richard H. Anderson      For       For          Management
1.2   Elect Director Victor J. Dzau           For       For          Management
1.3   Elect Director William A. Hawkins       For       For          Management
1.4   Elect Director S. Ann Jackson           For       For          Management
1.5   Elect Director Denise M. O'Leary        For       For          Management
1.6   Elect Director Robert C. Pozen          For       For          Management
1.7   Elect Director Jean-pierre Rosso        For       For          Management
1.8   Elect Director Jack W. Schuler          For       For          Management
2     Ratify Auditors                         For       For          Management
3     Amend Qualified Employee Stock Purchase For       For          Management
      Plan
4     Amend Omnibus Stock Plan                For       For          Management


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

MERCK & CO., INC.

Ticker:       MRK            Security ID:  589331107
Meeting Date: AUG 7, 2009    Meeting Type: Special
Record Date:  JUN 22, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Acquisition                     For       For          Management


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

MERCK & CO., INC.

Ticker:       MRK            Security ID:  58933Y105
Meeting Date: MAY 25, 2010   Meeting Type: Annual
Record Date:  MAR 26, 2010

#     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 C. Robert Kidder         For       For          Management
10    Elect Director Rochelle B. Lazarus      For       For          Management
11    Elect Director Carlos E. Represas       For       For          Management
12    Elect Director Patricia F. Russo        For       For          Management
13    Elect Director Thomas E. Shenk          For       For          Management
14    Elect Director Anne M. Tatlock          For       For          Management
15    Elect Director Craig B. Thompson        For       For          Management
16    Elect Director Wendell P. Weeks         For       For          Management
17    Elect Director Peter C. Wendell         For       For          Management
18    Ratify Auditors                         For       For          Management
19    Approve Omnibus Stock Plan              For       For          Management
20    Approve Non-Employee Director Omnibus   For       For          Management
      Stock Plan


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

METTLER-TOLEDO INTERNATIONAL INC.

Ticker:       MTD            Security ID:  592688105
Meeting Date: APR 29, 2010   Meeting Type: Annual
Record Date:  MAR 1, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Robert F. Spoerry        For       For          Management
2     Elect Director Wah-hui Chu              For       For          Management
3     Elect Director Francis A. Contino       For       For          Management
4     Elect Director Olivier A. Filliol       For       For          Management
5     Elect Director Michael A. Kelly         For       For          Management
6     Elect Director Martin D. Madaus         For       For          Management
7     Elect Director Hans Ulrich Maerki       For       For          Management
8     Elect Director George G. Milne          For       For          Management
9     Elect Director Thomas P. Salice         For       For          Management
10    Ratify Auditors                         For       For          Management


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

MILLIPORE CORPORATION

Ticker:       MIL            Security ID:  601073109
Meeting Date: JUN 3, 2010    Meeting Type: Special
Record Date:  APR 29, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Merger Agreement                For       For          Management
2     Adjourn Meeting                         For       For          Management


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

MINDRAY MEDICAL INTERNATIONAL LTD.

Ticker:       MR             Security ID:  602675100
Meeting Date: DEC 15, 2009   Meeting Type: Annual
Record Date:  NOV 6, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Reelect Xu Hang as Director             For       For          Management
2     Reelect Chen Qingtai as Director        For       For          Management
3     Reelect Ronald Ede as Director          For       For          Management
4     Ratify PricewaterhouseCoopers as        For       For          Management
      Auditors for December 31, 2008
5     Ratify PricewaterhouseCoopers as        For       For          Management
      Auditors for December 31, 2009
6     Amend Omnibus Stock Plan                For       Against      Management


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

MOMENTA PHARMACEUTICALS, INC.

Ticker:       MNTA           Security ID:  60877T100
Meeting Date: JUN 9, 2010    Meeting Type: Annual
Record Date:  APR 19, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Ram Sasisekharan         For       For          Management
1.2   Elect Director Bennett M. Shapiro       For       For          Management
1.3   Elect Director Elizabeth Stoner         For       For          Management
2     Ratify Auditors                         For       For          Management


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

MYLAN INC.

Ticker:       MYL            Security ID:  628530107
Meeting Date: MAY 14, 2010   Meeting Type: Annual
Record Date:  MAR 25, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Robert J. Coury          For       For          Management
1.2   Elect Director Rodney L. Piatt          For       Withhold     Management
1.3   Elect Director Wendy Cameron            For       Withhold     Management
1.4   Elect Director Neil Dimick              For       For          Management
1.5   Elect Director Douglas J. Leech         For       For          Management
1.6   Elect Director Joseph C. Maroon         For       Withhold     Management
1.7   Elect Director Mark W. Parrish          For       For          Management
1.8   Elect Director C.B. Todd                For       For          Management
1.9   Elect Director Randall L. Vanderveen    For       For          Management
2     Ratify Auditors                         For       For          Management
3     Advisory Vote to Ratify Named Executive Against   Against      Shareholder
      Officers' Compensation
4     Stock Retention/Holding Period          Against   Against      Shareholder


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

NOVARTIS AG

Ticker:       NOVN           Security ID:  66987V109
Meeting Date: FEB 26, 2010   Meeting Type: Annual
Record Date:

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Accept Financial Statements and         For       Abstain      Management
      Statutory Reports, Including
      Remuneration Report
2     Approve Discharge of Board and Senior   For       For          Management
      Management
3     Approve Allocation of Income and        For       For          Management
      Dividends of CHF 2.10 per Share
4.1   Amend Articles Re: Compliance with      For       For          Management
      Swiss Federal Act on Intermediated
      Securites
4.2   Amend Articles Re: Introduction of a    For       For          Management
      Consultative Resolution on the
      Remuneration System
5.1   Reelect Marjorie M.T. Yang as Director  For       For          Management
5.2   Reelect Daniel Vasella as Director      For       For          Management
5.3   Reelect Hans-Joerg Rudloff as Director  For       For          Management
6     Ratify PricewaterhouseCoopers as        For       For          Management
      Auditors
7     Additional And/or Counter-proposals     For       Against      Management
      Presented At The Meeting


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

PATTERSON COMPANIES INC.

Ticker:       PDCO           Security ID:  703395103
Meeting Date: SEP 14, 2009   Meeting Type: Annual
Record Date:  JUL 17, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Ellen A. Rudnick         For       For          Management
1.2   Elect Director Harold C. Slavkin        For       For          Management
1.3   Elect Director James W. Wiltz           For       For          Management
1.4   Elect Director Les C. Vinney            For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Auditors                         For       For          Management


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

PERKINELMER, INC.

Ticker:       PKI            Security ID:  714046109
Meeting Date: APR 27, 2010   Meeting Type: Annual
Record Date:  MAR 1, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Robert F. Friel          For       For          Management
2     Elect Director Nicholas A. Lopardo      For       For          Management
3     Elect Director Alexis P. Michas         For       For          Management
4     Elect Director James C. Mullen          For       For          Management
5     Elect Director Vicki L. Sato            For       For          Management
6     Elect Director Gabriel Schmergel        For       For          Management
7     Elect Director Kenton J. Sicchitano     For       For          Management
8     Elect Director Patrick J. Sullivan      For       For          Management
9     Elect Director G. Robert Tod            For       For          Management
10    Ratify Auditors                         For       For          Management


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PFIZER INC.

Ticker:       PFE            Security ID:  717081103
Meeting Date: APR 22, 2010   Meeting Type: Annual
Record Date:  FEB 23, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Dennis A. Ausiello       For       For          Management
2     Elect Director Michael S. Brown         For       For          Management
3     Elect Director M. Anthony Burns         For       For          Management
4     Elect Director Robert N. Burt           For       For          Management
5     Elect Director W. Don Cornwell          For       For          Management
6     Elect Director Frances D. Fergusson     For       For          Management
7     Elect Director William H. Gray III      For       For          Management
8     Elect Director Constance J. Horner      For       For          Management
9     Elect Director James M. Kilts           For       For          Management
10    Elect Director Jeffrey B. Kindler       For       For          Management
11    Elect Director George A. Lorch          For       For          Management
12    Elect Director John P. Mascotte         For       For          Management
13    Elect Director Suzanne Nora Johnson     For       For          Management
14    Elect Director Stephen W. Sanger        For       For          Management
15    Elect Director William C. Steere, Jr.   For       For          Management
16    Ratify Auditors                         For       For          Management
17    Advisory Vote to Ratify Named Executive For       For          Management
      Officers' Compensation
18    Provide Right to Call Special Meeting   For       For          Management
19    Prohibit Executive Stock-Based Awards   Against   Against      Shareholder


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

PHARMASSET, INC.

Ticker:       VRUS           Security ID:  71715N106
Meeting Date: SEP 23, 2009   Meeting Type: Special
Record Date:  AUG 7, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Amend Omnibus Stock Plan                For       For          Management


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

PHARMASSET, INC.

Ticker:       VRUS           Security ID:  71715N106
Meeting Date: MAR 18, 2010   Meeting Type: Annual
Record Date:  JAN 22, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Herbert J. Conrad        For       For          Management
2     Ratify Auditors                         For       For          Management


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

SOMAXON PHARMACEUTICALS, INC.

Ticker:       SOMX           Security ID:  834453102
Meeting Date: JUN 9, 2010    Meeting Type: Annual
Record Date:  APR 15, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Richard W. Pascoe        For       For          Management
1.2   Elect Director Kurt Von Emster          For       For          Management
2     Ratify Auditors                         For       For          Management


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

ST. JUDE MEDICAL, INC.

Ticker:       STJ            Security ID:  790849103
Meeting Date: MAY 7, 2010    Meeting Type: Annual
Record Date:  MAR 10, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Stuart M. Essig          For       For          Management
1.2   Elect Director Barbara B. Hill          For       For          Management
1.3   Elect Director Michael A. Rocca         For       For          Management
2     Ratify Auditors                         For       For          Management
3     Prepare Sustainability Report           Against   Against      Shareholder


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

STRYKER CORPORATION

Ticker:       SYK            Security ID:  863667101
Meeting Date: APR 27, 2010   Meeting Type: Annual
Record Date:  MAR 1, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Howard E. Cox, Jr.       For       For          Management
1.2   Elect Director Srikant M. Datar, Ph.D.  For       For          Management
1.3   Elect Director Donald M. Engelman,      For       Withhold     Management
      Ph.D.
1.4   Elect Director Louise L. Francesconi    For       For          Management
1.5   Elect Director Howard L. Lance          For       For          Management
1.6   Elect Director Stephen P. MacMillan     For       For          Management
1.7   Elect Director William U. Parfet        For       Withhold     Management
1.8   Elect Director Ronda E. Stryker         For       For          Management
2     Ratify Auditors                         For       For          Management


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TEVA PHARMACEUTICAL INDUSTRIES LTD.

Ticker:       TEVA           Security ID:  881624209
Meeting Date: JUN 29, 2010   Meeting Type: Annual
Record Date:  MAY 24, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Final Dividend of NIS 2.50 (USD For       For          Management
      0.642) Per Share
2     Election Of Director: Mr. Abraham E.    For       For          Management
      Cohen
3     Election Of Director: Mr. Amir Elstein  For       For          Management
4     Election Of Director: Prof. Roger       For       For          Management
      Kornberg
5     Election Of Director: Prof. Moshe Many  For       For          Management
6     Election Of Director: Mr. Dan Propper   For       For          Management
7     Approve Auditors and Authorize Board to For       For          Management
      Fix Their Remuneration
8     Approve Stock Option Plan               For       Against      Management
9     Approve Compensation of Board Chairman  For       For          Management
10    Approve Compensation of Director        For       For          Management
11    Approve Compensation of Director        For       For          Management
12    Increase Authorized Share Capital       For       For          Management


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

THERMO FISHER SCIENTIFIC INC.

Ticker:       TMO            Security ID:  883556102
Meeting Date: MAY 26, 2010   Meeting Type: Annual
Record Date:  MAR 29, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Marc N. Casper           For       For          Management
2     Elect Director Tyler Jacks              For       For          Management
3     Ratify Auditors                         For       For          Management


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

UNITED THERAPEUTICS CORPORATION

Ticker:       UTHR           Security ID:  91307C102
Meeting Date: JUN 28, 2010   Meeting Type: Annual
Record Date:  APR 29, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Christopher Causey       For       Withhold     Management
1.2   Elect Director Richard Giltner          For       For          Management
1.3   Elect Director R. Paul Gray             For       Withhold     Management
2     Increase Authorized Common Stock        For       For          Management
3     Ratify Auditors                         For       For          Management


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

UNITEDHEALTH GROUP INCORPORATED

Ticker:       UNH            Security ID:  91324P102
Meeting Date: MAY 24, 2010   Meeting Type: Annual
Record Date:  MAR 26, 2010

#     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         For       For          Management
9     Elect Director Gail R. Wilensky         For       Against      Management
10    Ratify Auditors                         For       For          Management
11    Report on Lobbying Expenses             Against   Against      Shareholder
12    Advisory Vote to Ratify Named Executive Against   Against      Shareholder
      Officers' Compensation


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

VARIAN MEDICAL SYSTEMS INC

Ticker:       VAR            Security ID:  92220P105
Meeting Date: FEB 11, 2010   Meeting Type: Annual
Record Date:  DEC 16, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director John Seely Brown         For       For          Management
1.2   Elect Director R. Andrew Eckert         For       For          Management
1.3   Elect Director Mark R. Laret            For       Withhold     Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Approve Qualified Employee Stock        For       For          Management
      Purchase Plan
4     Ratify Auditors                         For       For          Management


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

VCA ANTECH, INC.

Ticker:       WOOF           Security ID:  918194101
Meeting Date: JUN 14, 2010   Meeting Type: Annual
Record Date:  APR 19, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Robert L. Antin          For       For          Management
2     Ratify Auditors                         For       For          Management


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

VERTEX PHARMACEUTICALS INCORPORATED

Ticker:       VRTX           Security ID:  92532F100
Meeting Date: MAY 13, 2010   Meeting Type: Annual
Record Date:  MAR 17, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Joshua Boger             For       For          Management
1.2   Elect Director Charles A. Sanders       For       For          Management
1.3   Elect Director Elaine S. Ullian         For       For          Management
2     Amend Omnibus Stock Plan                For       For          Management
3     Ratify Auditors                         For       For          Management


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

WATERS CORPORATION

Ticker:       WAT            Security ID:  941848103
Meeting Date: MAY 11, 2010   Meeting Type: Annual
Record Date:  MAR 17, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Joshua Bekenstein        For       For          Management
1.2   Elect Director Michael J. Berendt       For       For          Management
1.3   Elect Director Douglas A. Berthiaume    For       For          Management
1.4   Elect Director Edward Conard            For       For          Management
1.5   Elect Director Laurie H. Glimcher       For       For          Management
1.6   Elect Director Christopher A. Kuebler   For       For          Management
1.7   Elect Director William J. Miller        For       For          Management
1.8   Elect Director Joann A. Reed            For       For          Management
1.9   Elect Director Thomas P. Salice         For       For          Management
2     Ratify Auditors                         For       For          Management


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WATSON PHARMACEUTICALS, INC.

Ticker:       WPI            Security ID:  942683103
Meeting Date: MAY 7, 2010    Meeting Type: Annual
Record Date:  MAR 22, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director Paul M. Bisaro           For       For          Management
1.2   Elect Director Christopher W. Bodine    For       For          Management
1.3   Elect Director Michel J. Feldman        For       For          Management
1.4   Elect Director Fred G. Weiss            For       For          Management
2     Ratify Auditors                         For       For          Management


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

WELLPOINT, INC.

Ticker:       WLP            Security ID:  94973V107
Meeting Date: MAY 18, 2010   Meeting Type: Annual
Record Date:  MAR 17, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Sheila P. Burke          For       Against      Management
2     Elect Director George A. Schaefer, Jr.  For       Against      Management
3     Elect Director Jackie M. Ward           For       Against      Management
4     Ratify Auditors                         For       For          Management
5     Report on Conversion to Non-Profit      Against   For          Shareholder
      Status
6     Report on Lobbying Expenses             Against   For          Shareholder
7     Advisory Vote to Ratify Named Executive Against   For          Shareholder
      Officers' Compensation
8     Reincorporate in Another State [from    Against   For          Shareholder
      Indiana to Delaware]


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

WYETH

Ticker:       WYE            Security ID:  983024100
Meeting Date: JUL 20, 2009   Meeting Type: Annual
Record Date:  JUN 5, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Approve Merger Agreement                For       For          Management
2     Adjourn Meeting                         For       For          Management
3.1   Elect Director Robert M. Amen           For       For          Management
3.2   Elect Director Michael J. Critelli      For       For          Management
3.3   Elect Director Frances D. Fergusson     For       For          Management
3.4   Elect Director Victor F. Ganzi          For       For          Management
3.5   Elect Director Robert Langer            For       For          Management
3.6   Elect Director John P. Mascotte         For       For          Management
3.7   Elect Director Raymond J. McGuire       For       For          Management
3.8   Elect Director Mary Lake Polan          For       For          Management
3.9   Elect Director Bernard Poussot          For       For          Management
3.10  Elect Director Gary L. Rogers           For       For          Management
3.11  Elect Director John R. Torell III       For       For          Management
4     Ratify Auditors                         For       For          Management
5     Report on Political Contributions       Against   Against      Shareholder
6     Amend Articles/Bylaws/Charter -- Call   Against   For          Shareholder
      Special Meetings


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

ZIMMER HOLDINGS, INC.

Ticker:       ZMH            Security ID:  98956P102
Meeting Date: MAY 3, 2010    Meeting Type: Annual
Record Date:  MAR 4, 2010

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1     Elect Director Betsy J. Bernard         For       For          Management
2     Elect Director Marc N. Casper           For       For          Management
3     Elect Director David C. Dvorak          For       For          Management
4     Elect Director Larry C. Glasscock       For       For          Management
5     Elect Director Robert A. Hagemann       For       For          Management
6     Elect Director Arthur J. Higgins        For       For          Management
7     Elect Director John L. McGoldrick       For       For          Management
8     Elect Director Cecil B. Pickett, Ph.D.  For       For          Management
9     Ratify Auditors                         For       For          Management


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

ZOLL MEDICAL CORP.

Ticker:       ZOLL           Security ID:  989922109
Meeting Date: FEB 10, 2010   Meeting Type: Annual
Record Date:  DEC 11, 2009

#     Proposal                                Mgt Rec   Vote Cast    Sponsor
1.1   Elect Director James W. Biondi          For       Withhold     Management
1.2   Elect Director Robert J. Halliday       For       Withhold     Management
1.3   Elect Director Lewis H. Rosenblum       For       Withhold     Management
2     Ratify Auditors                         For       For          Management

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