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 Exact name of registrant as specified in charter: BlackRock Health Sciences Trust Address of principal executive offices: 100 Bellevue Parkway Wilmington, DE 19809 Name and address of agent for service: Robert S. Kapito, President 40 East 52nd Street New York, New York 10022 Registrant's telephone number, including area code: (888) 825-2257 Date of fiscal year end: 10/31 Date of reporting period: 07/01/2006 - 06/30/2007 Item 1 - PROXY VOTING RECORD - The information contained herein discloses the following information for each matter relating to a portfolio security considered at any shareholder meeting held during the period covered by the report and with respect to which the registrant was entitled to vote: (a) The name of the issuer of the portfolio security; (b) The exchange ticker symbol of the portfolio security; (c) The Council on Uniform Securities Identification Procedures ("CUSIP") number for the portfolio security; (d) The shareholder meeting date; (e) A brief identification of the matter voted on; (f) Whether the matter was proposed by the issuer or by a security holder; (g) Whether the registrant cast its vote on the matter; (h) How the registrant cast its vote; and (i) Whether the registrant cast its vote for or against management. ******************************* FORM N-Px REPORT ******************************* ICA File Number: 811-21702 Reporting Period: 07/01/2006 - 06/30/2007 BlackRock Health Sciences Trust ======================= BLACKROCK HEALTH SCIENCES TRUST ======================== ABBOTT LABORATORIES Ticker: ABT Security ID: 002824100 Meeting Date: APR 27, 2007 Meeting Type: Annual Record Date: FEB 28, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director R.S. Austin For For Management 1.2 Elect Director W.M. Daley For For Management 1.3 Elect Director W.J. Farrell For For Management 1.4 Elect Director H.L. Fuller For For Management 1.5 Elect Director R.A. Gonzalez For For Management 1.6 Elect Director D.A.L. Owen For For Management 1.7 Elect Director B. Powell Jr. 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 Ratify Auditors For For Management 3 Advisory Vote to Ratify Named Executive Against For Shareholder Officers' Compensation 4 Separate Chairman and CEO Positions Against Against Shareholder -------------------------------------------------------------------------------- AETNA INC. Ticker: AET Security ID: 00817Y108 Meeting Date: APR 27, 2007 Meeting Type: Annual Record Date: FEB 23, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Frank M. Clark For For Management 1.2 Elect Director Betsy Z. Cohen For For Management 1.3 Elect Director Molly J. Coye, M.D. For For Management 1.4 Elect Director Barbara Hackman Franklin For For Management 1.5 Elect Director Jeffrey E. Garten For For Management 1.6 Elect Director Earl G. Graves, Sr. For For Management 1.7 Elect Director Gerald Greenwald For For Management 1.8 Elect Director Ellen M. Hancock For For Management 1.9 Elect Director Edward J. Ludwig For For Management 1.10 Elect Director Joseph P. Newhouse For For Management 1.11 Elect Director Ronald A. Williams For For Management 2 Ratify Auditors For For Management 3 Company Specific-Majority Vote Standard For For Management for the Election of Directors in Uncontested Election 4 Restore or Provide for Cumulative Voting Against Against Shareholder 5 Require Director Nominee Qualifications Against Against Shareholder -------------------------------------------------------------------------------- ALCON INC. Ticker: ACL Security ID: H01301102 Meeting Date: MAY 9, 2007 Meeting Type: Annual Record Date: MAR 26, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1 APPROVAL OF THE 2006 ANNUAL REPORT AND For For Management ACCOUNTS OF ALCON, INC. AND THE 2006 CONSOLIDATED FINANCIAL STATEMENTS OF ALCON, INC. AND SUBSIDIARIES 2 APPROPRIATION OF AVAILABLE EARNINGS AND For For Management PROPOSED DIVIDEND TO SHAREHOLDERS FOR THE FINANCIAL YEAR 2006 3 DISCHARGE OF THE MEMBERS OF THE BOARD OF For For Management DIRECTORS FOR THE FINANCIAL YEAR 2006 4 ELECTION OF KPMG KLYNVELD PEAT MARWICK For For Management GOERDELER SA, ZURICH, AS GROUP AND PARENT COMPANY AUDITORS 5 ELECTION OF ZENSOR REVISIONS AG, ZUG, AS For For Management SPECIAL AUDITORS 6 ELECTION TO THE BOARD OF DIRECTORS: For For Management WERNER J. BAUER 7 ELECTION TO THE BOARD OF DIRECTORS: For For Management FRANCISCO CASTANER 8 ELECTION TO THE BOARD OF DIRECTORS: For For Management LODEWIJK J.R. DE VINK 9 ELECTION TO THE BOARD OF DIRECTORS: For For Management GERHARD N. MAYR 10 APPROVAL OF SHARE CANCELLATION For For Management -------------------------------------------------------------------------------- ALEXION PHARMACEUTICALS, INC. Ticker: ALXN Security ID: 015351109 Meeting Date: MAY 3, 2007 Meeting Type: Annual Record Date: MAR 13, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Leonard Bell, M.D. For Withhold Management 1.2 Elect Director David W. Keiser For Withhold Management 1.3 Elect Director Max Link, Ph.D. For Withhold Management 1.4 Elect Director Joseph A. Madri, Ph.D., For Withhold Management M.D. 1.5 Elect Director Larry L. Mathis For Withhold Management 1.6 Elect Director R. Douglas Norby For Withhold Management 1.7 Elect Director Alvin S. Parven For Withhold Management 1.8 Elect Director Ruedi E. Waeger, Ph.D. For Withhold Management 2 Amend Omnibus Stock Plan For For Management 3 Ratify Auditors For For Management -------------------------------------------------------------------------------- ALLERGAN, INC. Ticker: AGN Security ID: 018490102 Meeting Date: SEP 20, 2006 Meeting Type: Special Record Date: AUG 14, 2006 # Proposal Mgt Rec Vote Cast Sponsor 1 Increase Authorized Common Stock For For Management -------------------------------------------------------------------------------- AMGEN, INC. Ticker: AMGN Security ID: 031162100 Meeting Date: MAY 9, 2007 Meeting Type: Annual Record Date: MAR 12, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1 Elect Director Frank J. Biondi, Jr. For For Management 2 Elect Director Jerry D. Choate For For Management 3 Elect Director Frank C. Herringer For For Management 4 Elect Director Gilbert S. Omenn For For Management 5 Ratify Auditors For For Management 6 Declassify the Board of Directors For For Management 7 Declassify the Board of Directors For For Management 8 Develop an Animal Welfare Policy Against Against Shareholder 9 Prepare a Sustainability Report Against Against Shareholder -------------------------------------------------------------------------------- APPLERA CORP Ticker: ABI Security ID: 038020202 Meeting Date: OCT 19, 2006 Meeting Type: Annual Record Date: AUG 30, 2006 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Richard H. Ayers For For Management 1.2 Elect Director Jean-Luc Belingard For For Management 1.3 Elect Director Robert H. Hayes For For Management 1.4 Elect Director Arnold J. Levine For For Management 1.5 Elect Director William H. Longfield For For Management 1.6 Elect Director Theodore E. Martin For For Management 1.7 Elect Director Carolyn W. Slayman For For Management 1.8 Elect Director Orin R. Smith For For Management 1.9 Elect Director James R. Tobin For For Management 1.10 Elect Director Tony L. White For For Management 2 Ratify Auditors For For Management 3 Change Company Name For For Management 4 Amend Omnibus Stock Plan For For Management 5 Amend Omnibus Stock Plan For For Management -------------------------------------------------------------------------------- BAXTER INTERNATIONAL INC. Ticker: BAX Security ID: 071813109 Meeting Date: MAY 1, 2007 Meeting Type: Annual Record Date: MAR 2, 2007 # 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 Approve Omnibus Stock Plan For For Management -------------------------------------------------------------------------------- BECTON, DICKINSON AND COMPANY Ticker: BDX Security ID: 075887109 Meeting Date: JAN 30, 2007 Meeting Type: Annual Record Date: DEC 6, 2006 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Claire Fraser-Liggett For For Management 1.2 Elect Director Henry P. Becton, Jr. For For Management 1.3 Elect Director Edward F. Degraan For For Management 1.4 Elect Director Adel A.F. Mahmoud For For Management 1.5 Elect Director James F. Orr For For Management 2 Ratify Auditors For For Management 3 Amend Omnibus Stock Plan For For Management 4 Restore or Provide for Cumulative Voting Against Against Shareholder -------------------------------------------------------------------------------- BIOGEN IDEC INC. Ticker: BIIB Security ID: 09062X103 Meeting Date: MAY 31, 2007 Meeting Type: Annual Record Date: APR 13, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director James C. Mullem For For Management 1.2 Elect Director Bruce R. Ross For For Management 1.3 Elect Director Marijn E. Dekkers For For Management 2 Ratify Auditors For For Management -------------------------------------------------------------------------------- BIOMARIN PHARMACEUTICAL INC. Ticker: BMRN Security ID: 09061G101 Meeting Date: JUN 7, 2007 Meeting Type: Annual Record Date: APR 16, 2007 # 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 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 For For Management 1.7 Elect Director Alan J. Lewis For For Management 1.8 Elect Director Richard A. Meier For For Management 2 Ratify Auditors For For Management 3 Increase Authorized Common Stock For For Management -------------------------------------------------------------------------------- BIOMET, INC. Ticker: BMET Security ID: 090613100 Meeting Date: JUN 8, 2007 Meeting Type: Special Record Date: APR 20, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1 Approve Merger Agreement For For Management 2 Adjourn Meeting For For Management -------------------------------------------------------------------------------- CARDIOME PHARMA CORP. Ticker: COM Security ID: 14159U202 Meeting Date: JUN 11, 2007 Meeting Type: Annual/Special Record Date: MAY 2, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Robert W. Rieder For For Management 1.2 Elect Director Peter W. Roberts For For Management 1.3 Elect Director Jackie Clegg For For Management 1.4 Elect Director Richard M. Glickman For For Management 1.5 Elect Director Harold H. Shlevin For For Management 1.6 Elect Director Douglas G. Janzen For For Management 1.7 Elect Director William L. Hunter For For Management 2 Ratify KPMG LLP as Auditors For For Management 3 Authorize Board to Fix Remuneration of For For Management Auditors 4 Amend Stock Option Plan For Against Management -------------------------------------------------------------------------------- CHINA MEDICAL TECHNOLOGIES INC. Ticker: CMED Security ID: 169483104 Meeting Date: NOV 21, 2006 Meeting Type: Annual Record Date: AUG 25, 2006 # Proposal Mgt Rec Vote Cast Sponsor 1 Ratify Auditors For For Management -------------------------------------------------------------------------------- COOPER COMPANIES, INC., THE Ticker: COO Security ID: 216648402 Meeting Date: MAR 20, 2007 Meeting Type: Annual Record Date: FEB 5, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director A. Thomas Bender For For Management 1.2 Elect Director John D. Fruth For For Management 1.3 Elect Director Michael H. Kalkstein For For Management 1.4 Elect Director Jody S. Lindell For For Management 1.5 Elect Director Moses Marx For For Management 1.6 Elect Director Donald Press For For Management 1.7 Elect Director Steven Rosenberg For For Management 1.8 Elect Director Allan E. Rubenstein, M.D. For For Management 1.9 Elect Director Robert S. Weiss For For Management 1.10 Elect Director Stanley Zinberg, M.D. For For Management 2 Ratify Auditors For For Management 3 Approve Omnibus Stock Plan For For Management -------------------------------------------------------------------------------- CV THERAPEUTICS INC. Ticker: CVTX Security ID: 126667104 Meeting Date: MAY 31, 2007 Meeting Type: Annual Record Date: APR 16, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Thomas L. Gutshall For For Management 1.2 Elect Director Kenneth B. Lee, Jr. For For Management 2 Amend Omnibus Stock Plan For For Management 3 Ratify Auditors For For Management -------------------------------------------------------------------------------- CYBERONICS, INC. Ticker: CYBX Security ID: 23251P102 Meeting Date: FEB 1, 2007 Meeting Type: Proxy Contest Record Date: DEC 18, 2006 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Stanley H. Appel, M.D. For Did Not Management Vote 1.2 Elect Director Tony Coelho For Did Not Management Vote 1.3 Elect Director Guy C. Jackson For Did Not Management Vote 1.4 Elect Director Kevin S. Moore For Did Not Management Vote 1.5 Elect Director Hugh M. Morrison For Did Not Management Vote 1.6 Elect Director Alan Olsen For Did Not Management Vote 1.7 Elect Director M.J. Strauss, M.D., MPH For Did Not Management Vote 1.8 Elect Director Reese S. Terry, Jr. For Did Not Management Vote 2 Ratify Auditors For Did Not Management Vote 1.1 Elect Director Alfred J. Novak For Withhold Management 1.2 Elect Director Arthur L. Rosenthal For For Management 1.3 Elect Director Jeffrey E. Schwarz For For Management 2 Ratify Auditors For For Management -------------------------------------------------------------------------------- DENTSPLY INTERNATIONAL, INC. Ticker: XRAY Security ID: 249030107 Meeting Date: MAY 15, 2007 Meeting Type: Annual Record Date: MAR 27, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Paula H. Cholmondeley For For Management 1.2 Elect Director Michael J. Coleman For For Management 1.3 Elect Director John C. Miles II For For Management 1.4 Elect Director W. Keith Smith For For Management 2 Ratify Auditors For For Management 3 Amend Omnibus Stock Plan For For Management -------------------------------------------------------------------------------- EDWARDS LIFESCIENCES CORPORATION Ticker: EW Security ID: 28176E108 Meeting Date: MAY 10, 2007 Meeting Type: Annual Record Date: MAR 16, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Robert A. Ingram For For Management 1.2 Elect Director Vernon R. Loucks Jr. For For Management 2 Amend Omnibus Stock Plan For For Management 3 Amend Qualified Employee Stock Purchase For For Management Plan 4 Ratify Auditors For For Management -------------------------------------------------------------------------------- GENENTECH, INC. Ticker: DNA Security ID: 368710406 Meeting Date: APR 20, 2007 Meeting Type: Annual Record Date: FEB 20, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Herbert W. Boyer, Ph.D. For For Management 1.2 Elect Director William M. Burns For Withhold Management 1.3 Elect Director Erich Hunziker, Ph.D. For Withhold Management 1.4 Elect Director Jonathan K.C. Knowles, For Withhold Management Ph.D. 1.5 Elect Director Arthur D. Levinson, Ph.D. For For Management 1.6 Elect Director Debra L. Reed For For Management 1.7 Elect Director Charles A. Sanders, M.D. For For Management 2 Ratify Auditors For For Management -------------------------------------------------------------------------------- GILEAD SCIENCES, INC. Ticker: GILD Security ID: 375558103 Meeting Date: MAY 9, 2007 Meeting Type: Annual Record Date: MAR 22, 2007 # 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 Withhold 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 Moore For For Management 1.10 Elect Director Gayle E. Wilson For For Management 2 Ratify Auditors For For Management 3 Amend Omnibus Stock Plan For For Management 4 Amend Qualified Employee Stock Purchase For For Management Plan -------------------------------------------------------------------------------- ICOS CORP. Ticker: ICOS Security ID: 449295104 Meeting Date: JAN 25, 2007 Meeting Type: Special Record Date: DEC 26, 2006 # Proposal Mgt Rec Vote Cast Sponsor 1 Approve Merger Agreement For For Management 2 Adjourn Meeting For For Management -------------------------------------------------------------------------------- INTEGRA LIFESCIENCES HOLDINGS CORP. Ticker: IART Security ID: 457985208 Meeting Date: MAY 17, 2007 Meeting Type: Annual Record Date: MAR 30, 2007 # 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 -------------------------------------------------------------------------------- INTERMUNE, INC. Ticker: ITMN Security ID: 45884X103 Meeting Date: MAY 15, 2007 Meeting Type: Annual Record Date: MAR 19, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director David S. Kabakoff, Ph.D. For For Management 1.2 Elect Director Michael L. Smith For For Management 1.3 Elect Director Daniel G. Welch For For Management 2 Amend Omnibus Stock Plan For For Management 3 Ratify Auditors For For Management -------------------------------------------------------------------------------- JOHNSON & JOHNSON Ticker: JNJ Security ID: 478160104 Meeting Date: APR 26, 2007 Meeting Type: Annual Record Date: FEB 27, 2007 # 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 Christine A. Poon For For Management 1.8 Elect Director Charles Prince For For Management 1.9 Elect Director Steven S Reinemund For For Management 1.10 Elect Director David Satcher For For Management 1.11 Elect Director William C. Weldon For For Management 2 Ratify Auditors For For Management 3 Require a Majority Vote for the Election Against For Shareholder of Directors 4 Submit Supplemental Executive Retirement Against For Shareholder Plans to Shareholder vote -------------------------------------------------------------------------------- KOSAN BIOSCIENCES INC. Ticker: KOSN Security ID: 50064W107 Meeting Date: MAY 24, 2007 Meeting Type: Annual Record Date: MAR 30, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Charles J. Homcy, M.D. For For Management 1.2 Elect Director Chaitan S. Khosla, Ph.D. For For Management 2 Ratify Auditors For For Management -------------------------------------------------------------------------------- MANOR CARE, INC. Ticker: HCR Security ID: 564055101 Meeting Date: MAY 8, 2007 Meeting Type: Annual Record Date: MAR 16, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1 Elect Director Mary Taylor Behrens For For Management 2 Elect Director Joseph F. Damico For For Management 3 Elect Director Stephen L. Guillard For For Management 4 Elect Director William H. Longfield For For Management 5 Elect Director Paul A. Ormond For For Management 6 Elect Director John T. Schwieters For For Management 7 Elect Director Richard C. Tuttle For For Management 8 Elect Director Gail R. Wilensky, Ph.D For For Management 9 Elect Director Thomas L. Young For For Management -------------------------------------------------------------------------------- MERCK & CO., INC. Ticker: MRK Security ID: 589331107 Meeting Date: APR 24, 2007 Meeting Type: Annual Record Date: FEB 23, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Richard T. Clark For For Management 1.2 Elect Director Johnnetta B. Cole, Ph.D. For For Management 1.3 Elect Director William B. Harrison, Jr. For For Management 1.4 Elect Director William N. Kelley, M.D. For For Management 1.5 Elect Director Rochelle B. Lazarus For For Management 1.6 Elect Director Thomas E. Shenk, Ph.D. For For Management 1.7 Elect Director Anne M. Tatlock For For Management 1.8 Elect Director Samuel O. Thier, M.D. For For Management 1.9 Elect Director Wendell P. Weeks For For Management 1.10 Elect Director Peter C. Wendell For For Management 2 Ratify Auditors For For Management 3 Reduce Supermajority Vote Requirement For For Management 4 Reduce Supermajority Vote Requirement For For Management 5 Establish Range For Board Size For For Management 6 Replace Cumulative Voting to Majority For For Management Vote Standard for the Election of Directors 7 Publish Political Contributions Against Against Shareholder 8 Advisory Vote to Ratify Named Executive Against For Shareholder Officers' Compensation -------------------------------------------------------------------------------- MYRIAD GENETICS, INC. Ticker: MYGN Security ID: 62855J104 Meeting Date: NOV 16, 2006 Meeting Type: Annual Record Date: SEP 29, 2006 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Robert S. Attiyeh For For Management 1.2 Elect Director John T. Henderson, M.D. For For Management 2 Amend Stock Option Plan For For Management 3 Amend Qualified Employee Stock Purchase For For Management Plan 4 Ratify Auditors For For Management -------------------------------------------------------------------------------- NOVARTIS AG Ticker: NVS Security ID: 66987V109 Meeting Date: MAR 6, 2007 Meeting Type: Annual Record Date: JAN 19, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1 APPROVAL OF THE ANNUAL REPORT, THE For For Management FINANCIAL STATEMENTS OF NOVARTIS AG AND THE GROUP CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR 2006. 2 APPROVAL OF THE ACTIVITIES OF THE BOARD For For Management OF DIRECTORS 3 APPROPRIATION OF AVAILABLE EARNINGS OF For For Management NOVARTIS AG AS PER BALANCE SHEET AND DECLARATION OF DIVIDEND 4 ELECTION TO THE BOARD OF DIRECTORS: For For Management RE-ELECTION OF HANS-JOERG RUDLOFF FOR A THREE-YEAR TERM 5 ELECTION TO THE BOARD OF DIRECTORS: For For Management RE-ELECTION OF DR. DANIEL VASELLA FOR A THREE-YEAR TERM 6 ELECTION TO THE BOARD OF DIRECTORS: For For Management ELECTION OF NEW MEMBER MARJORIE M. YANG FOR A TERM OF OFFICE BEGINNING ON 1 JANUARY 2008 AND ENDING ON THE DAY OF THE AGM IN 2010 7 Ratify Auditors For For Management 8 VOTES REGARDING ADDITIONAL AND/OR For Against Management COUNTER-PROPOSALS AT THE AGM OF NOVARTIS AG IF YOU GIVE NO INSTRUCTIONS ON AGENDA ITEM 6, YOUR VOTES WILL BE CAST IN ACCORDANCE WITH THE PROPOSALS OF THE BOARD OF DIRECTORS. MARKING THE BOX FOR IS A VOTE FOR THE PROPOS -------------------------------------------------------------------------------- PFIZER INC. Ticker: PFE Security ID: 717081103 Meeting Date: APR 26, 2007 Meeting Type: Annual Record Date: MAR 1, 2007 # 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 William R. Howell 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 William C. Steere, Jr. For For Management 2 Ratify Auditors For For Management 3 Restore or Provide for Cumulative Voting Against For Shareholder 4 Report on Animal Testing Policies Against Against Shareholder 5 Amend Animal Welfare Policy Against Against Shareholder 6 Require Director Nominee Qualifications Against Against Shareholder -------------------------------------------------------------------------------- REGENERON PHARMACEUTICALS, INC. Ticker: REGN Security ID: 75886F107 Meeting Date: JUN 8, 2007 Meeting Type: Annual Record Date: APR 12, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Leonard S. Schleifer For For Management 1.2 Elect Director Eric M. Shooter For For Management 1.3 Elect Director George D. Yancopoulos For For Management 2 Ratify Auditors For For Management -------------------------------------------------------------------------------- RESPIRONICS, INC. Ticker: RESP Security ID: 761230101 Meeting Date: NOV 14, 2006 Meeting Type: Annual Record Date: SEP 29, 2006 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Joseph C. Lawyer For For Management 1.2 Elect Director Sean C. Mcdonald For For Management 1.3 Elect Director Mylle H. Mangum For For Management 1.4 Elect Director John C. Miles Ii For For Management 2 Ratify Auditors For For Management 3 Approve Qualified Employee Stock Purchase For For Management Plan -------------------------------------------------------------------------------- SCHERING-PLOUGH CORP. Ticker: SGP Security ID: 806605101 Meeting Date: MAY 18, 2007 Meeting Type: Annual Record Date: MAR 28, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Hans W. Becherer For For Management 1.2 Elect Director Thomas J. Colligan For For Management 1.3 Elect Director Fred Hassan For For Management 1.4 Elect Director C. Robert Kidder For For Management 1.5 Elect Director Philip Leder, M.D. For For Management 1.6 Elect Director Eugene R. McGrath For For Management 1.7 Elect Director Carl E. Mundy, Jr. For For Management 1.8 Elect Director Antonio M. Perez For For Management 1.9 Elect Director Patricia F. Russo For For Management 1.10 Elect Director Jack L. Stahl For For Management 1.11 Elect Director Kathryn C. Turner For For Management 1.12 Elect Director Robert F.W. van Oordt For For Management 1.13 Elect Director Arthur F. Weinbach For For Management 2 Ratify Auditors For For Management 3 Reduce Supermajority Vote Requirement For For Management 4 Company Specific--Adopt Majority Voting For Against Management 5 Performance-Based and/or Time-Based Against For Shareholder Equity Awards -------------------------------------------------------------------------------- SEATTLE GENETICS, INC. Ticker: SGEN Security ID: 812578102 Meeting Date: MAY 25, 2007 Meeting Type: Annual Record Date: MAR 29, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Marc E. Lippman, M.D. For For Management 1.2 Elect Director Franklin M. Berger For For Management 2 Approve Omnibus Stock Plan For Against Management 3 Amend Non-Employee Director Stock Option For For Management Plan 4 Ratify Auditors For For Management -------------------------------------------------------------------------------- SHIRE PLC (FORMERLY SHIRE PHARMACEUTICALS GROUP PLC) Ticker: SHPGY Security ID: 82481R106 Meeting Date: APR 16, 2007 Meeting Type: Special Record Date: MAR 20, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1 TO APPROVE THE ACQUISITION BY THE COMPANY For For Management OF NEW RIVER PHARMACEUTICALS, INC. AND APPROVE THE INCREASE IN THE BORROWING LIMITS OF THE COMPANY. -------------------------------------------------------------------------------- ST. JUDE MEDICAL, INC. Ticker: STJ Security ID: 790849103 Meeting Date: MAY 16, 2007 Meeting Type: Annual Record Date: MAR 19, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Michael A. Rocca For For Management 1.2 Elect Director Stefan K. Widensohler For For Management 2 Approve Omnibus Stock Plan For For Management 3 Approve Qualified Employee Stock Purchase For For Management Plan 4 Ratify Auditors For For Management -------------------------------------------------------------------------------- STRYKER CORP. Ticker: SYK Security ID: 863667101 Meeting Date: APR 25, 2007 Meeting Type: Annual Record Date: FEB 28, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director John W. Brown For For Management 1.2 Elect Director Howard E. Cox, Jr. For For Management 1.3 Elect Director Donald M. Engelman, Ph.D. For For Management 1.4 Elect Director Jerome H. Grossman, M.D. For For Management 1.5 Elect Director Louise L. Francesconi For For Management 1.6 Elect Director Stephen P. Macmillan For For Management 1.7 Elect Director William U. Parfet For For Management 1.8 Elect Director Ronda E. Stryker For For Management 2 Approve Executive Incentive Bonus Plan For For Management 3 Ratify Auditors For For Management 4 Performance-Based and/or Time-Based Against Against Shareholder Equity Awards -------------------------------------------------------------------------------- THORATEC CORP. Ticker: THOR Security ID: 885175307 Meeting Date: MAY 18, 2007 Meeting Type: Annual Record Date: MAR 30, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Gerhard F. Burbach For For Management 1.2 Elect Director Howard E. Chase For For Management 1.3 Elect Director J. Daniel Cole For For Management 1.4 Elect Director Neil F. Dimick For For Management 1.5 Elect Director D. Keith Grossman For For Management 1.6 Elect Director J. Donald Hill, M.D. For For Management 1.7 Elect Director Daniel M. Mulvena For For Management 2 Ratify Auditors For For Management -------------------------------------------------------------------------------- UNITED THERAPEUTICS CORP. Ticker: UTHR Security ID: 91307C102 Meeting Date: JUN 26, 2007 Meeting Type: Annual Record Date: MAY 1, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Christopher Causey For For Management 1.2 Elect Director R. Paul Gray For For Management -------------------------------------------------------------------------------- UNITEDHEALTH GROUP INCORPORATED Ticker: UNH Security ID: 91324P102 Meeting Date: MAY 29, 2007 Meeting Type: Annual Record Date: APR 9, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director William C. Ballard, Jr. For For Management 1.2 Elect Director Richard T. Burke For For Management 1.3 Elect Director Stephen J. Hemsley For For Management 1.4 Elect Director Robert J. Darretta For For Management 2 Company Specific--Majority Vote for the For For Management Election of Directors 3 Declassify the Board of Directors For For Management 4 Reduce Supermajority Vote Requirement for For For Management Removal of Directors 5 Reduce Supermajority Vote Requirement For For Management 6 Amend Articles-Make Stylistic, Clarifying For For Management and Conforming Changes 7 Ratify Auditors For For Management 8 Performance-Based and/or Time-Based Against Against Shareholder Equity Awards 9 Establish SERP Policy Against For Shareholder 10 Advisory Vote to Ratify Named Executive Against For Shareholder Officers' Compensation 11 Equal Access to the Proxy for Purpose of Against For Shareholder Electing a Director -------------------------------------------------------------------------------- VARIAN MEDICAL SYSTEMS INC Ticker: VAR Security ID: 92220P105 Meeting Date: FEB 15, 2007 Meeting Type: Annual Record Date: DEC 18, 2006 # 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 For Management 1.4 Elect Director Kent J. Thiry For For Management 2 Amend Omnibus Stock Plan For For Management 3 Amend Executive Incentive Bonus Plan For For Management 4 Ratify Auditors For For Management -------------------------------------------------------------------------------- VENTANA MEDICAL SYSTEMS, INC. Ticker: VMSI Security ID: 92276H106 Meeting Date: MAY 23, 2007 Meeting Type: Annual Record Date: MAR 26, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1 Ratify Auditors For For Management 2.1 Elect Director Rod Dammeyer For For Management 2.2 Elect Director Christopher Gleeson For For Management 2.3 Elect Director Edward Giles For For Management -------------------------------------------------------------------------------- WATERS CORPORATION Ticker: WAT Security ID: 941848103 Meeting Date: MAY 15, 2007 Meeting Type: Annual Record Date: MAR 20, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director Joshua Bekenstein For For Management 1.2 Elect Director Michael J. Berendt, Ph.D. 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, M.D. 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 -------------------------------------------------------------------------------- WRIGHT MEDICAL GROUP Ticker: WMGI Security ID: 98235T107 Meeting Date: MAY 17, 2007 Meeting Type: Annual Record Date: MAR 26, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director F. Barry Bays For For Management 1.2 Elect Director Martin J. Emerson For For Management 1.3 Elect Director Lawrence W. Hamilton For For Management 1.4 Elect Director Gary D. Henley For For Management 1.5 Elect Director John L. Miclot For For Management 1.6 Elect Director Robert J. Quillinan For For Management 1.7 Elect Director David D. Stevens For For Management 1.8 Elect Director Thomas E. Timbie For For Management 1.9 Elect Director James T. Treace For For Management 2 Ratify Auditors For For Management -------------------------------------------------------------------------------- WYETH Ticker: WYE Security ID: 983024100 Meeting Date: APR 26, 2007 Meeting Type: Annual Record Date: MAR 2, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1 Elect Director Robert Essner For For Management 2 Elect Director John D. Feerick For For Management 3 Elect Director Frances D. Fergusson For For Management 4 Elect Director Victor F. Ganzi For For Management 5 Elect Director Robert Langer For For Management 6 Elect Director John P. Mascotte For For Management 7 Elect Director Raymond J. McGuire For For Management 8 Elect Director Mary Lake Polan For For Management 9 Elect Director Bernard Poussot For For Management 10 Elect Director Gary L. Rogers For For Management 11 Elect Director Ivan G. Seidenberg For For Management 12 Elect Director Walter V. Shipley For For Management 13 Elect Director John R. Torell III For For Management 14 Ratify Auditors For For Management 15 Reduce Supermajority Vote Requirement For For Management 16 Amend Omnibus Stock Plan For For Management 17 Adopt Animal Welfare Policy Against Against Shareholder 18 Report on Policy to Limit Drug Supply to Against For Shareholder Canada 19 Report on Political Contributions Against For Shareholder 20 Claw-back of Payments under Restatements Against For Shareholder 21 Company-Specific - Interlocking Against Against Shareholder Directorship 22 Disclose Information-Proposal Withdrawn. Against Abstain Shareholder No Vote Required 23 Separate Chairman and CEO Positions Against For Shareholder 24 Advisory Vote to Ratify Named Executive Against For Shareholder Officers' Compensation -------------------------------------------------------------------------------- XOMA LTD. Ticker: XOMA Security ID: G9825R107 Meeting Date: MAY 22, 2007 Meeting Type: Annual Record Date: MAR 30, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1.1 Elect Director James G. Andress For For Management 1.2 Elect Director William K. Bowes, Jr. For For Management 1.3 Elect Director John L. Castello For For Management 1.4 Elect Director Peter Barton Hutt For For Management 1.5 Elect Director P.J. Scannon, Md, Ph.D. For For Management 1.6 Elect Director W. Denman Van Ness For For Management 1.7 Elect Director Patrick J. Zenner For For Management 2 Ratify Auditors For For Management 3 PROPOSAL TO APPROVE THE ADOPTION OF THE For For Management COMPANY S BONUS COMPENSATION PLAN. -------------------------------------------------------------------------------- ZIMMER HOLDINGS INC Ticker: ZMH Security ID: 98956P102 Meeting Date: MAY 7, 2007 Meeting Type: Annual Record Date: MAR 8, 2007 # Proposal Mgt Rec Vote Cast Sponsor 1 Elect Director Larry C. Glasscock For For Management 2 Elect Director John L. McGoldrick For For Management 3 Ratify Auditors For For Management 4 Declassify the Board of Directors For For Management 5 Adopt Simple Majority Vote Against For Shareholder ========== END NPX REPORT - SIGNATURES - 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/ Robert S. Kapito --------------------- Robert S. Kapito Principal Executive Officer Date: August 24, 2007