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BlackRock Health Sciences Trust

Regulatory Filings Nov 21, 2018

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N-Q 1 d629272dnq.htm BLACKROCK HEALTH SCIENCES TRUST BlackRock Health Sciences Trust

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM N-Q

QUARTERLY SCHEDULE OF PORTFOLIO HOLDINGS 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: John M. Perlowski, Chief Executive Officer, BlackRock Health Sciences Trust, 55 East 52 nd Street, New York, NY 10055

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

Date of fiscal year end: 12/31/2018

Date of reporting period: 09/30/2018

Item 1 – Schedule of Investments

Schedule of Investments (unaudited) September 30, 2018 BlackRock Health Sciences Trust (BME) (Percentages shown are based on Net Assets)

Security Value
Common Stocks — 99.1%
Biotechnology — 18.4%
ACADIA Pharmaceuticals, Inc. (a)(b) 37,400 $ 776,424
Acceleron Pharma, Inc. (a)(b) 38,000 2,174,740
Acerta Pharma BV, Series B, (Acquired 02/01/16, cost
$986,402) (c)(d) 17,146,440 1,844,957
Agios Pharmaceuticals, Inc. (a)(b) 15,700 1,210,784
Alexion Pharmaceuticals, Inc. (a)(b) 26,900 3,739,369
Allakos, Inc. (a) 6,012 270,480
Alnylam Pharmaceuticals, Inc. (a)(b) 8,200 717,664
Amgen, Inc. (b) 28,460 5,899,473
Amicus Therapeutics, Inc. (a) 22,430 271,179
AnaptysBio, Inc. (a) 2,100 209,517
Apellis Pharmaceuticals, Inc. (a) 14,547 258,646
Arena Pharmaceuticals, Inc. (a)(b) 25,144 1,157,127
Biogen, Inc. (a)(b) 24,748 8,743,716
Biohaven Pharmaceutical Holding Co. Ltd. (a)(b) 7,050 264,728
BioMarin Pharmaceutical, Inc. (a)(b) 32,700 3,170,919
Bluebird Bio, Inc. (a)(b) 2,200 321,200
Blueprint Medicines Corp. (a)(b) 3,500 273,210
Cellectis SA, ADR (a) 15,095 425,981
Checkpoint Therapeutics, Inc. (a)(e) 43,100 154,298
Corbus Pharmaceuticals Holdings, Inc. (a) 38,600 291,430
Cytokinetics, Inc. (a) 11,300 111,305
Eidos Therapeutics, Inc. (a) 7,886 78,702
Galapagos NV, ADR (a)(b) 5,700 640,851
Gilead Sciences, Inc. (b) 37,500 2,895,375
Halozyme Therapeutics, Inc. (a)(b) 29,700 539,649
Incyte Corp. (a)(b) 34,400 2,376,352
InflaRx NV (a) 29,508 1,012,715
InflaRx NV, (Acquired 11/08/17,
cost $253,349) (d) 19,488 668,828
Insmed, Inc. (a)(b) 49,686 1,004,651
Intercept Pharmaceuticals, Inc. (a)(b) 2,600 328,536
Madrigal Pharmaceuticals, Inc. (a) 2,100 449,673
Neurocrine Biosciences, Inc. (a)(b) 9,400 1,155,730
Ovid therapeutics, Inc. (a) 42,053 238,441
Principia Biopharma, Inc. (a) 4,047 118,253
Ra Pharmaceuticals, Inc. (a) 6,500 117,585
Regeneron Pharmaceuticals, Inc. (a)(b) 6,758 2,730,502
Rubius Therapeutics, Inc. (a)(d) 2,991 71,784
Sage Therapeutics, Inc. (a)(b) 13,652 1,928,345
Sarepta Therapeutics, Inc. (a)(b) 38,950 6,290,814
Seattle Genetics, Inc. (a)(b) 50,967 3,930,575
Spark Therapeutics, Inc. (a)(b) 9,010 491,495
Spectrum Pharmaceuticals, Inc. (a)(b) 55,800 937,440
Sutro Biopharma, Inc. (a) 5,660 84,900
Syndax Pharmaceuticals, Inc. (a)(b) 15,784 127,535
TESARO, Inc. (a) 17,831 695,587
Ultragenyx Pharmaceutical, Inc. (a)(b) 17,500 1,335,950
Security Value
Biotechnology (continued)
Vertex Pharmaceuticals, Inc. (a)(b) 41,005 $ 7,903,304
70,440,719
Diversified Consumer Services — 0.7%
Service Corp. International 59,800 2,643,160
Health Care Equipment & Supplies — 26.9%
Abbott Laboratories (b) 252,800 18,545,408
Baxter International, Inc. (b) 74,300 5,727,787
Becton Dickinson & Co. (b) 27,933 7,290,513
Boston Scientific Corp. (a)(b) 420,284 16,180,934
Edwards Lifesciences Corp. (a)(b) 23,200 4,039,120
Establishment Labs Holdings, Inc. (a) 6,058 145,998
Globus Medical, Inc., Class A (a)(b) 24,700 1,401,972
Intuitive Surgical, Inc. (a)(b) 12,200 7,002,800
iRhythm Technologies, Inc. (a)(b) 15,183 1,437,223
Masimo Corp. (a) 39,000 4,857,060
Medtronic PLC (b) 170,900 16,811,433
Nevro Corp. (a)(b) 14,244 811,908
ResMed, Inc. (b) 32,200 3,713,948
Stryker Corp. (b) 53,600 9,523,648
Teleflex, Inc. (b) 8,500 2,261,765
Varian Medical Systems, Inc. (a)(b) 14,900 1,667,757
Zimmer Biomet Holdings, Inc. (b) 11,900 1,564,493
102,983,767
Health Care Providers & Services — 21.9%
Amedisys, Inc. (a)(b) 24,960 3,119,002
AmerisourceBergen Corp. (b) 16,400 1,512,408
Anthem, Inc. (b) 35,800 9,810,990
Centene Corp. (a)(b) 42,800 6,196,584
Cigna Corp. (b) 37,100 7,726,075
DaVita, Inc. (a)(b) 17,594 1,260,258
HCA Healthcare, Inc. (b) 21,594 3,004,157
HealthEquity, Inc. (a)(b) 12,400 1,170,684
Humana, Inc. (b) 27,800 9,410,856
Molina Healthcare, Inc. (a)(b) 7,400 1,100,380
Quest Diagnostics, Inc. (b) 61,500 6,636,465
UnitedHealth Group, Inc. 115,802 30,807,964
WellCare Health Plans, Inc. (a)(b) 6,200 1,987,038
83,742,861
Health Care Technology — 0.8%
Teladoc, Inc. (a)(b) 37,200 3,212,220
Life Sciences Tools & Services — 4.5%
Agilent Technologies, Inc. (b) 25,100 1,770,554
Charles River Laboratories International,
Inc. (a)(b) 9,300 1,251,222
Illumina, Inc. (a)(b) 5,400 1,982,124
IQVIA Holdings, Inc. (a)(b) 10,300 1,336,322
PerkinElmer, Inc. (b) 9,800 953,246
QIAGEN NV (a)(b) 48,800 1,848,544
Thermo Fisher Scientific, Inc. (b) 27,600 6,736,608

1

Schedule of Investments (unaudited) (continued) September 30, 2018 BlackRock Health Sciences Trust (BME) (Percentages shown are based on Net Assets)

Security Value
Life Sciences Tools & Services (continued)
Wuxi Biologics Cayman, Inc. (a)(f) 120,500 $ 1,219,412
17,098,032
Pharmaceuticals — 25.9%
Allergan PLC (b) 35,285 6,721,087
Arvinas Holding Co. LLC (a) 4,630 78,108
Assembly Biosciences, Inc. (a)(b) 5,033 186,926
AstraZeneca PLC (b) 70,276 5,477,596
AstraZeneca PLC — ADR 63,700 2,520,609
Bristol-Myers Squibb Co. (b) 153,962 9,557,961
Chugai Pharmaceutical Co. Ltd. 16,100 1,034,961
Elanco Animal Health, Inc. (a) 10,891 379,987
Eli Lilly & Co. (b)(c) 66,400 7,125,384
Hua Medicine (Acquired 03/13/18, Cost $505,000),
0.00% (d) 405,105 408,226
Hua Medicine (a)(f) 314,500 332,243
Jazz Pharmaceuticals PLC (a)(b) 10,500 1,765,365
Johnson & Johnson (b) 66,770 9,225,611
Medicines Co. (a)(b) 18,800 562,308
Merck & Co., Inc. (b) 167,679 11,895,148
Merck KGaA 28,300 2,923,975
Nektar Therapeutics (a)(b) 7,400 451,104
Novartis AG, ADR (b) 22,300 1,921,368
Novo Nordisk A/S — ADR (b) 75,100 3,540,214
Pfizer, Inc. (b) 491,398 21,655,910
Reata Pharmaceuticals, Inc., Class A (a)(b) 9,419 770,097
Sanofi 20,600 1,840,552
Sanofi — ADR 50,700 2,264,769
Teva Pharmaceutical Industries Ltd. —
ADR (b) 59,000 1,270,860
Theravance Biopharma, Inc. (a)(b) 4,700 153,549
Tricida, Inc. (a) 9,249 282,557
Urovant Sciences, Ltd. (a) 6,639 79,668
Zoetis, Inc. (b) 54,500 4,990,020
99,416,163
Total Common Stocks — 99.1% (Cost — $230,168,128) 379,536,922
Security Value
Corporate Bonds — 0.1%
Allogene Therapeutics, Inc. (Acquired 08/31/18, Cost $505,000), 0.00% (c)(d) 505,000 $ 505,000
Total Corporate Bonds — 0.1% (Cost — $505,000) 505,000
Other Interests (g) —
0.0%
United States — 0.0%
Afferent Pharmaceuticals, Inc., Series C (c) 190 117,899
Total Other Interests — 0.0% (Cost — $ — ) 117,899
Preferred Stock
Biotechnology — 0.3%
Rubius Therapeutics, Inc., (Acquired 02/23/18, Cost $505,410),
0.00% (c)(d) 39,516 919,932
Total Preferred Stocks — 0.3% (Cost — $505,409) 919,932
Total Long-Term Investments — 99.5% (Cost — $231,178,537) 381,079,753
Short-Term Securities — 1.4%
BlackRock Liquidity Funds, T-Fund, Institutional Class,
1.97% (h)(j) 5,349,621 5,349,621
SL Liquidity Series, LLC, Money Market Series,
2.26% (h)(i)(j) 800 800
Total Short-Term Securities — 1.4% (Cost — $5,350,421) 5,350,421
Total Investments Before Options Written — 100.9% (Cost —
$236,528,958) 386,430,174
Options Written — (1.4)% (Premiums Received — $2,857,084) (5,251,576 )
Total Investments, Net of Options Written — 99.5% (Cost —
$233,671,874) 381,178,598
Other Assets Less Liabilities — 0.5% 1,982,531
Net Assets — 100.0% $ 383,161,129

(a) Non-income producing security.

(b) All or a portion of the security has been pledged and/or segregated as collateral in connection with outstanding exchange-traded options written.

(c) Security is valued using significant unobservable inputs and is classified as Level 3 in the fair value hierarchy.

(d) Restricted security as to resale, excluding 144A securities. As of period end, the Trust held restricted securities with a current value of $4,346,943 and an original cost of $2,593,097, which was 0.7% of its net assets.

2

Schedule of Investments (unaudited) (continued) September 30, 2018 BlackRock Health Sciences Trust (BME)

(e) Security, or a portion of the security, is on loan.

(f) Security exempt from registration pursuant to Rule 144A under the Securities Act of 1933, as amended. These securities may be resold in transactions exempt from registration to qualified institutional investors.

(g) Other interests represent beneficial interests in liquidation trusts and other reorganization or private entities.

(h) Annualized 7-day yield as of period end.

(i) Security was purchased with the cash collateral from loaned securities.

(j) During the period ended September 30, 2018, investments in issuers considered to be affiliates of the Trust for purposes of Section 2(a)(3) of the Investment Company Act of 1940, as amended, and/or related parties of the Trust were as follows:

Affiliate — BlackRock Liquidity Funds, T-Fund, Institutional Class 14,301,421 (8,951,800 ) 5,349,621 Value at 09/30/18 — $ 5,349,621 Income — $ 107,994 $ — Change in Unrealized Appreciation (Depreciation) — $ —
SL Liquidity Series, LLC, Money Market Series 120,903 (120,103 ) 800 800 1,261 (b) 10 7
$ 5,350,421 $ 109,255 $ 10 $ 7

(a) Includes net capital gain distributions, if applicable.

(b) Represents securities lending income earned from the reinvestment of cash collateral from loaned securities, net of fees and collateral investment expenses, and other payments to and from borrowers of securities.

For Trust compliance purposes, the Trust’s sector classifications refer to one or more of the sector sub-classifications used by one or more widely recognized market indexes or rating group indexes, and/or as defined by the investment adviser. These definitions may not apply for purposes of this report, which may combine such sector sub-classifications for reporting ease.

Currency Abbreviations
EUR Euro
GBP British Pound
HKD Hong Kong Dollar
JPY Japanese Yen
USD United States Dollar
Portfolio Abbreviations
ADR American Depositary Receipts

Derivative Financial Instruments Outstanding as of Period End

Exchange-Traded Options Written

Description Exercise Price Notional Amount (000) Value
Call
Arena Pharmaceuticals, Inc. 16 10/04/18 USD 39.15 USD 74 $ (11,019 )
Abbott Laboratories 492 10/05/18 USD 67.50 USD 3,609 (295,200 )
Alexion Pharmaceuticals, Inc. 65 10/05/18 USD 125.00 USD 904 (91,000 )
Allergan PLC 78 10/05/18 USD 192.50 USD 1,486 (8,229 )
Baxter International, Inc. 72 10/05/18 USD 74.50 USD 555 (19,296 )
Biogen, Inc. 8 10/05/18 USD 350.00 USD 283 (5,920 )
Bristol-Myers Squibb Co. 223 10/05/18 USD 62.00 USD 1,384 (11,373 )
Humana, Inc. 22 10/05/18 USD 335.00 USD 745 (10,340 )
Illumina, Inc. 21 10/05/18 USD 365.00 USD 771 (12,075 )
Johnson & Johnson 33 10/05/18 USD 136.00 USD 456 (8,250 )
Medtronic PLC 30 10/05/18 USD 95.01 USD 295 (10,473 )
Merck & Co., Inc. 28 10/05/18 USD 69.00 USD 199 (5,838 )
Pfizer, Inc. 365 10/05/18 USD 40.05 USD 1,609 (147,367 )
AstraZeneca PLC 128 10/12/18 USD 37.50 USD 506 (38,720 )

3

Schedule of Investments (unaudited) (continued) September 30, 2018 BlackRock Health Sciences Trust (BME)

Exchange-Traded Options Written (continued)

Description — Baxter International, Inc. 71 10/12/18 Exercise Price — USD 75.00 Notional Amount (000) — USD 547 Value — $ (16,756 )
Cigna Corp. 148 10/12/18 USD 187.50 USD 3,082 (312,650 )
HCA Healthcare, Inc. 55 10/12/18 USD 134.00 USD 765 (31,350 )
Merck & Co., Inc. 54 10/12/18 USD 70.00 USD 383 (7,938 )
Pfizer, Inc. 365 10/12/18 USD 40.15 USD 1,609 (144,351 )
Sarepta Therapeutics, Inc. 155 10/12/18 USD 150.00 USD 2,503 (254,975 )
ACADIA Pharmaceuticals, Inc. 149 10/19/18 USD 15.00 USD 309 (91,635 )
Abbott Laboratories 255 10/19/18 USD 67.50 USD 1,871 (151,725 )
Acceleron Pharma, Inc. 152 10/19/18 USD 60.00 USD 870 (23,940 )
Agilent Technologies, Inc. 100 10/19/18 USD 70.00 USD 705 (13,800 )
Agios Pharmaceuticals, Inc. 62 10/19/18 USD 80.00 USD 478 (12,555 )
Alnylam Pharmaceuticals, Inc. 32 10/19/18 USD 105.00 USD 280 (800 )
Amedisys, Inc. 106 10/19/18 USD 125.00 USD 1,325 (36,570 )
AmerisourceBergen Corp. 21 10/19/18 USD 87.50 USD 194 (10,815 )
Amgen, Inc. 72 10/19/18 USD 200.00 USD 1,492 (61,920 )
Anthem, Inc. 145 10/19/18 USD 280.00 USD 3,974 (28,565 )
Assembly Biosciences, Inc. 20 10/19/18 USD 45.00 USD 74 (4,500 )
Baxter International, Inc. 141 10/19/18 USD 77.50 USD 1,087 (13,042 )
Becton Dickinson & Co. 62 10/19/18 USD 260.00 USD 1,618 (26,040 )
BioMarin Pharmaceutical, Inc. 65 10/19/18 USD 105.00 USD 630 (3,412 )
Biogen, Inc. 27 10/19/18 USD 355.00 USD 954 (20,925 )
Biohaven Pharmaceutical Holding Co., Ltd. 28 10/19/18 USD 40.00 USD 105 (3,010 )
Bluebird Bio, Inc. 10 10/19/18 USD 160.00 USD 146 (2,250 )
Blueprint Medicines Corp. 14 10/19/18 USD 75.00 USD 109 (7,910 )
Boston Scientific Corp. 670 10/19/18 USD 35.00 USD 2,580 (217,750 )
Bristol-Myers Squibb Co. 170 10/19/18 USD 62.50 USD 1,055 (12,580 )
Centene Corp. 150 10/19/18 USD 150.00 USD 2,172 (12,750 )
Charles River Laboratories International, Inc. 37 10/19/18 USD 130.00 USD 498 (20,720 )
DaVita, Inc. 70 10/19/18 USD 72.50 USD 501 (13,300 )
Edwards Lifesciences Corp. 33 10/19/18 USD 150.00 USD 575 (81,180 )
Eli Lilly & Co. 130 10/19/18 USD 106.75 USD 1,395 (32,364 )
Galapagos NV 22 10/19/18 USD 120.00 USD 247 (4,400 )
HCA Healthcare, Inc. 31 10/19/18 USD 135.00 USD 431 (17,360 )
Halozyme Therapeutics, Inc. 135 10/19/18 USD 18.00 USD 245 (9,787 )
HealthEquity, Inc. 49 10/19/18 USD 95.00 USD 463 (11,392 )
Incyte Corp. 137 10/19/18 USD 70.00 USD 946 (26,373 )
Insmed, Inc. 198 10/19/18 USD 22.00 USD 400 (44,550 )
Intercept Pharmaceuticals, Inc. 10 10/19/18 USD 120.00 USD 126 (9,650 )
Jazz Pharmaceuticals PLC 42 10/19/18 USD 165.00 USD 706 (21,840 )
Johnson & Johnson 100 10/19/18 USD 140.00 USD 1,382 (14,500 )
Medtronic PLC 146 10/19/18 USD 100.00 USD 1,436 (9,490 )
Merck & Co., Inc. 149 10/19/18 USD 67.50 USD 1,057 (55,503 )
Molina Healthcare, Inc. 30 10/19/18 USD 155.00 USD 446 (4,425 )
Nektar Therapeutics 29 10/19/18 USD 70.00 USD 177 (2,610 )
Neurocrine Biosciences, Inc. 37 10/19/18 USD 125.00 USD 455 (11,840 )
Nevro Corp. 77 10/19/18 USD 65.00 USD 439 (14,630 )
Novartis AG, ADR 19 10/19/18 USD 85.00 USD 164 (4,085 )
Novo Nordisk A/S — ADR 31 10/19/18 USD 49.00 USD 146 (620 )
Pfizer, Inc. 365 10/19/18 USD 40.25 USD 1,609 (141,363 )
Reata Pharmaceuticals, Inc., Class A 37 10/19/18 USD 95.00 USD 303 (6,475 )
Regeneron Pharmaceuticals, Inc. 16 10/19/18 USD 410.00 USD 646 (13,440 )
ResMed, Inc. 128 10/19/18 USD 115.00 USD 1,476 (25,920 )
Sage Therapeutics, Inc. 16 10/19/18 USD 165.00 USD 226 (1,680 )

4

Schedule of Investments (unaudited) (continued) September 30, 2018 BlackRock Health Sciences Trust (BME)

Exchange-Traded Options Written (continued)

Description — Sage Therapeutics, Inc. 39 10/19/18 Exercise Price — USD 155.00 Notional Amount (000) — USD 551 Value — $ (5,070 )
Seattle Genetics, Inc. 203 10/19/18 USD 80.00 USD 1,566 (29,943 )
Spark Therapeutics, Inc. 36 10/19/18 USD 60.00 USD 196 (3,690 )
Spectrum Pharmaceuticals, Inc. 223 10/19/18 USD 23.00 USD 375 (2,230 )
Syndax Pharmaceuticals, Inc. 63 10/19/18 USD 10.00 USD 51 (2,520 )
Teladoc, Inc. 148 10/19/18 USD 80.00 USD 1,278 (117,660 )
Teleflex, Inc. 34 10/19/18 USD 270.00 USD 905 (10,540 )
Teva Pharmaceutical Industries Ltd. — ADR 84 10/19/18 USD 24.00 USD 181 (1,134 )
Theravance Biopharma, Inc. 20 10/19/18 USD 30.00 USD 65 (6,700 )
Thermo Fisher Scientific, Inc. 110 10/19/18 USD 250.00 USD 2,685 (13,475 )
Varian Medical Systems, Inc. 59 10/19/18 USD 115.00 USD 660 (4,425 )
Vertex Pharmaceuticals, Inc. 164 10/19/18 USD 185.00 USD 3,161 (163,180 )
WellCare Health Plans, Inc. 23 10/19/18 USD 310.00 USD 737 (31,970 )
Zimmer Biomet Holdings, Inc. 46 10/19/18 USD 125.00 USD 605 (32,200 )
iRhythm Technologies, Inc. 60 10/19/18 USD 95.00 USD 568 (17,700 )
Abbott Laboratories 221 10/26/18 USD 69.00 USD 1,621 (101,108 )
Allergan PLC 63 10/26/18 USD 192.50 USD 1,200 (21,577 )
Amgen, Inc. 7 10/26/18 USD 202.50 USD 145 (5,040 )
AstraZeneca PLC 126 10/26/18 USD 38.50 USD 499 (46,620 )
Baxter International, Inc. 47 10/26/18 USD 78.00 USD 362 (4,018 )
Becton Dickinson & Co. 49 10/26/18 USD 262.50 USD 1,279 (16,905 )
Biogen, Inc. 24 10/26/18 USD 350.00 USD 848 (37,560 )
Bristol-Myers Squibb Co. 73 10/26/18 USD 62.00 USD 453 (10,402 )
Humana, Inc. 21 10/26/18 USD 340.00 USD 711 (10,500 )
Johnson & Johnson 102 10/26/18 USD 141.00 USD 1,409 (13,311 )
Medtronic PLC 114 10/26/18 USD 97.00 USD 1,121 (29,013 )
Merck & Co., Inc. 182 10/26/18 USD 70.50 USD 1,291 (31,941 )
Pfizer, Inc. 196 10/26/18 USD 42.00 USD 864 (44,002 )
Pfizer, Inc. 202 10/26/18 USD 41.69 USD 890 (53,204 )
Teva Pharmaceutical Industries Ltd. — ADR 152 10/26/18 USD 23.00 USD 327 (5,928 )
Zoetis, Inc. 148 10/26/18 USD 90.50 USD 1,355 (31,820 )
Novo Nordisk A/S — ADR 103 10/31/18 USD 47.74 USD 486 (8,346 )
Alexion Pharmaceuticals, Inc. 42 11/02/18 USD 137.00 USD 584 (31,290 )
Amgen, Inc. 34 11/02/18 USD 207.50 USD 705 (17,850 )
Biogen, Inc. 39 11/02/18 USD 345.00 USD 1,378 (72,930 )
Bristol-Myers Squibb Co. 149 11/02/18 USD 63.00 USD 925 (16,911 )
Eli Lilly & Co. 135 11/02/18 USD 107.00 USD 1,449 (34,223 )
Gilead Sciences, Inc. 63 11/02/18 USD 75.00 USD 486 (23,940 )
Humana, Inc. 68 11/02/18 USD 340.00 USD 2,302 (45,220 )
Intuitive Surgical, Inc. 48 11/02/18 USD 562.50 USD 2,755 (129,120 )
Johnson & Johnson 32 11/02/18 USD 141.00 USD 442 (4,992 )
Medtronic PLC 319 11/02/18 USD 99.50 USD 3,138 (40,992 )
Merck & Co., Inc. 137 11/02/18 USD 71.00 USD 972 (22,194 )
Pfizer, Inc. 192 11/02/18 USD 43.00 USD 846 (30,144 )
Novo Nordisk A/S — ADR 103 11/06/18 USD 47.74 USD 486 (9,353 )
AmerisourceBergen Corp. 44 11/16/18 USD 92.50 USD 406 (15,620 )
Arena Pharmaceuticals, Inc. 84 11/16/18 USD 43.00 USD 387 (41,790 )
BioMarin Pharmaceutical, Inc. 65 11/16/18 USD 105.00 USD 630 (11,862 )
Centene Corp. 22 11/16/18 USD 143.50 USD 319 (13,459 )
Edwards Lifesciences Corp. 39 11/16/18 USD 155.00 USD 679 (81,510 )
Gilead Sciences, Inc. 87 11/16/18 USD 75.00 USD 672 (36,975 )
IQVIA Holdings, Inc. 41 11/16/18 USD 140.00 USD 532 (4,715 )
Medicine’s Co. 75 11/16/18 USD 36.00 USD 224 (12,187 )

5

Schedule of Investments (unaudited) (continued) September 30, 2018 BlackRock Health Sciences Trust (BME)

Exchange-Traded Options Written (continued)

Description — Medtronic PLC 74 11/16/18 Exercise Price — USD 97.50 Notional Amount (000) — USD 728 Value — $ (20,979 )
Merck & Co., Inc. 120 11/16/18 USD 72.50 USD 851 (14,400 )
PerkinElmer, Inc. 39 11/16/18 USD 100.00 USD 379 (9,165 )
Pfizer, Inc. 85 11/16/18 USD 44.00 USD 375 (8,670 )
Pfizer, Inc. 195 11/16/18 USD 42.98 USD 859 (29,614 )
QIAGEN NV 195 11/16/18 USD 40.00 USD 739 (56,550 )
Quest Diagnostics, Inc. 247 11/16/18 USD 110.00 USD 2,665 (41,990 )
Regeneron Pharmaceuticals, Inc. 11 11/16/18 USD 390.00 USD 444 (31,130 )
Ultragenyx Pharmaceutical, Inc. 70 11/16/18 USD 90.00 USD 534 (21,000 )
Zoetis, Inc. 70 11/16/18 USD 92.50 USD 641 (15,925 )
Globus Medical, Inc., Class A 98 12/21/18 USD 55.00 USD 556 (46,550 )
Stelco Holdings, Inc. 214 12/21/18 USD 175.00 USD 3,802 (163,710 )
$ (4,869,803 )

OTC Options Written

Description Counterparty Expiration Date Value
Call
Novo Nordisk A/S — ADR Barclays Bank PLC 6,400 10/01/18 USD 51.00 USD 302 $ —
Chugai Pharmaceutical Co., Ltd. JPMorgan Chase Bank N.A. 6,400 10/03/18 JPY 6,419.72 JPY 46,745 (50,018 )
Novartis AG, ADR UBS AG 7,000 10/03/18 USD 83.44 USD 603 (19,384 )
Service Corp. International Barclays Bank PLC 5,300 10/04/18 USD 42.03 USD 234 (11,697 )
Masimo Corp. Goldman Sachs International 15,600 10/23/18 USD 123.10 USD 1,943 (58,551 )
Service Corp. International Barclays Bank PLC 18,600 10/23/18 USD 41.86 USD 822 (48,979 )
Merck KGaA Morgan Stanley & Co. International PLC 11,300 10/30/18 EUR 88.57 EUR 1,006 (28,109 )
Sanofi Goldman Sachs International 8,200 10/31/18 EUR 77.19 EUR 631 (11,545 )
AstraZeneca PLC Barclays Bank PLC 28,100 11/01/18 GBP 57.00 GBP 1,680 (125,499 )
Sanofi — ADR Morgan Stanley & Co. International PLC 20,200 11/12/18 USD 44.10 USD 902 (27,991 )
$ (381,773 )

6

Schedule of Investments (unaudited) (continued) September 30, 2018 BlackRock Health Sciences Trust (BME)

Fair Value Hierarchy as of Period End

Various inputs are used in determining the fair value of investments and derivative financial instruments. These inputs to valuation techniques are categorized into a fair value hierarchy consisting of three broad levels for financial reporting purposes as follows:

• Level 1 — Unadjusted quoted prices in active markets/exchanges for identical assets or liabilities that Trust has the ability to access

• Level 2 — Other observable inputs (including, but not limited to, quoted prices for similar assets or liabilities in markets that are active, quoted prices for identical or similar assets or liabilities in markets that are not active, inputs other than quoted prices that are observable for the assets or liabilities (such as interest rates, yield curves, volatilities, prepayment speeds, loss severities, credit risks and default rates) or other market-corroborated inputs)

• Level 3 — Unobservable inputs based on the best information available in the circumstances, to the extent observable inputs are not available (including Trust’s own assumptions used in determining the fair value of investments and derivative financial instruments)

The hierarchy gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level 1 measurements) and the lowest priority to unobservable inputs (Level 3 measurements). Accordingly, the degree of judgment exercised in determining fair value is greatest for instruments categorized in Level 3. The inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, for disclosure purposes, the fair value hierarchy classification is determined based on the lowest level input that is significant to the fair value measurement in its entirety. Investments classified within Level 3 have significant unobservable inputs used by the BlackRock Global Valuation Methodologies Committee (the “Global Valuation Committee”) in determining the price for Fair Valued Investments. Level 3 investments include equity or debt issued by privately held companies or funds. There may not be a secondary market, and/or there are a limited number of investors. Level 3 investments may also be adjusted to reflect illiquidity and/or non-transferability, with the amount of such discount estimated by the Global Valuation Committee in the absence of market information.

Changes in valuation techniques may result in transfers into or out of an assigned level within the hierarchy. In accordance with the Trust’s policy, transfers between different levels of the fair value hierarchy are deemed to have occurred as of the beginning of the reporting period. The categorization of a value determined for investments and derivative financial instruments is based on the pricing transparency of the investments and derivative financial instruments and is not necessarily an indication of the risks associated with investing in those securities. For information about the Trust’s policy regarding valuation of investments and derivative financial instruments, refer to the Trust’s most recent financial statements as contained in its semi-annual report.

The following tables summarize the Trust’s investments and derivative financial instruments categorized in the disclosure hierarchy:

Level 1 Level 2 Level 3 Total
Assets:
Investments:
Common Stocks:
Biotechnology $ 67,926,934 $ 668,828 $ 1,844,957 $ 70,440,719
Diversified Consumer Services 2,643,160 — — 2,643,160
Health Care Equipment & Supplies 102,983,767 — — 102,983,767
Health Care Providers & Services 83,742,861 — — 83,742,861
Health Care Technology 3,212,220 — — 3,212,220
Life Sciences Tools & Services 15,878,620 1,219,412 — 17,098,032
Pharmaceuticals 87,730,853 11,277,084 408,226 99,416,163
Corporate Bonds — — 505,000 505,000
Other Interests — — 117,899 117,899
Preferred Stock — — 919,932 919,932
Short-Term Securities 5,349,621 — — 5,349,621
$ 369,468,036 $ 13,165,324 $ 3,796,014 $ 386,429,374
Investments Valued at NAV (a) 800
$ 386,430,174
Derivative Financial
Instruments (b)
Liabilities:
Equity contracts $ (4,268,891 ) $ (982,685 ) $ — $ (5,251,576 )

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Schedule of Investments (unaudited) (continued) September 30, 2018 BlackRock Health Sciences Trust (BME)

(a) As of September 30, 2018, certain of the Trust’s Investments were fair valued using net asset value (“NAV”) per share and have been excluded from the fair value hierarchy.

(b) Derivative financial instruments are options written, which are shown at value.

Transfers between Level 1 and Level 2 were as follows:

Transfers into Level 1 Transfers out of Level 1 (a) Transfers Into Level 2 (a) Transfers out of Level 2
Assets:
Long-Term Investments:
Common Stocks $ — $ 548,148 $ 548,148 $ —

(a) External pricing service used to reflect any significant market movements between the time the Trust valued such foreign securities and the earlier closing of foreign markets.

A reconciliation of Level 3 investments is presented when the Trust had a significant amount of Level 3 investments at the beginning and/or rend of the period in relation to net assets. The following table is a reconciliation of Level 3 investments for which significant unobservable inputs were used in determining fair value:

Common Stocks Preferred Stocks Other Interests Rights Total
Assets:
Opening Balance, as of December 31, 2017 $ 1,916,972 $ — $ 387,926 $ 141,355 $ — $ 2,446,253
Transfers into Level 3 — — — — — —
Transfers out of Level 3 — — — — — —
Accrued discounts/premiums — — — — — —
Net realized gain (loss) — — — 221,060 — 221,060
Net change in unrealized appreciation
(depreciation) (a)(b) (6,725 ) 414,523 (270,027 ) (115,507 ) — 22,264
Purchases 342,936 505,409 — — 505,000 1,353,345
Sales — — — (246,908 ) — (246,908 )
Closing Balance, as of September 30, 2018 $ 2,253,183 $ 919,932 $ 117,899 $ — $ 505,000 $ 3,796,014
Net change in unrealized appreciation (depreciation) on investments still held at September 30, 2018 (b) $ (6,725 ) $ 414,523 $ (270,027 ) $ — $ — $ (349,088 )

(a) Included in the related net change in unrealized appreciation (depreciation) in the Statements of Operations.

(b) Any difference between net change in unrealized appreciation (depreciation) and net change in unrealized appreciation (depreciation) on derivative financial instruments still held at September 30, 2018 is generally due to derivative financial instruments no longer held or categorized as Level 3 at period end.

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Item 2 – Controls and Procedures

2(a) – The registrant’s principal executive and principal financial officers, or persons performing similar functions, have concluded that the registrant’s disclosure controls and procedures (as defined in Rule 30a-3(c) under the Investment Company Act of 1940, as amended (the “1940 Act”)) are effective as of a date within 90 days of the filing of this report based on the evaluation of these controls and procedures required by Rule 30a-3(b) under the 1940 Act and Rule 13a-15(b) under the Securities Exchange Act of 1934, as amended.

2(b) – There were no changes in the registrant’s internal control over financial reporting (as defined in Rule 30a-3(d) under the 1940 Act) that occurred during the registrant’s last fiscal quarter that have materially affected, or are reasonably likely to materially affect, the registrant’s internal control over financial reporting.

Item 3 – Exhibits

Certifications – Attached hereto

Pursuant to the requirements of the Securities Exchange Act of 1934 and 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/ John M. Perlowski
John M. Perlowski
Chief Executive Officer (principal executive officer) of
BlackRock Health Sciences Trust
Date: November 19, 2018

Pursuant to the requirements of the Securities Exchange Act of 1934 and the Investment Company Act of 1940, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.

By: /s/ John M. Perlowski
John M. Perlowski
Chief Executive Officer (principal executive officer) of
BlackRock Health Sciences Trust
Date: November 19, 2018
By: /s/ Neal J. Andrews
Neal J. Andrews
Chief Financial Officer (principal financial officer) of
BlackRock Health Sciences Trust
Date: November 19, 2018

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