Vanguard Health Care Fund Buys bluebird bio Inc, Tesaro Inc, Elanco Animal Health Inc, Sells Cigna Corp, Envision Healthcare Corp, Illumina Inc

• New Purchases: ELAN, PODD, NMC, QGEN,
• Added Positions: BLUE, 4523, NOVN, ALNY, TEVA, TSRO, EL, BIIB, NKTR, BGNE,
• Reduced Positions: CI, LLY, MDT, ILMN, BSX, VRTX, 4507, UNH, HCA, MRK,
• Sold Out: EVHC, ISRG,

For the details of Vanguard Health Care Fund's stock buys and sells, go to http://www.gurufocus.com/StockBuy.php?GuruName=Vanguard+Health+Care+Fund

1. Bristol-Myers Squibb Company (BMY) - 49,971,861 shares, 6.35% of the total portfolio. Shares reduced by 1.24%
2. UnitedHealth Group Inc (UNH) - 10,840,436 shares, 5.91% of the total portfolio. Shares reduced by 2.63%
3. AstraZeneca PLC (AZN) - 34,744,993 shares, 5.55% of the total portfolio. Shares reduced by 1.37%
4. Allergan PLC (AGN) - 13,878,301 shares, 5.41% of the total portfolio.
5. Eli Lilly and Co (LLY) - 22,449,015 shares, 4.93% of the total portfolio. Shares reduced by 7.32%

Vanguard Health Care Fund initiated holding in Insulet Corp. The purchase prices were between $81.43 and $108.13, with an estimated average price of $93.68. The stock is now traded at around $90.09. The impact to a portfolio due to this purchase was 0.06%. The holding were 289,600 shares as of 2018-09-30.

Vanguard Health Care Fund initiated holding in Elanco Animal Health Inc. The purchase prices were between $34.1 and $36.19, with an estimated average price of $35.17. The stock is now traded at around $31.58. The impact to a portfolio due to this purchase was 0.06%. The holding were 901,500 shares as of 2018-09-30.

Vanguard Health Care Fund initiated holding in NMC Health PLC. The purchase prices were between $33.1 and $41.2, with an estimated average price of $37.28. The stock is now traded at around $35.32. The impact to a portfolio due to this purchase was less than 0.01%. The holding were 6,067 shares as of 2018-09-30.

Vanguard Health Care Fund initiated holding in Qiagen NV. The purchase prices were between $35.99 and $39.39, with an estimated average price of $37.68. The stock is now traded at around $36.27. The impact to a portfolio due to this purchase was less than 0.01%. The holding were 63,800 shares as of 2018-09-30.

Vanguard Health Care Fund added to a holding in bluebird bio Inc by 93.45%. The purchase prices were between $137.2 and $181.4, with an estimated average price of $159.59. The stock is now traded at around $128.00. The impact to a portfolio due to this purchase was 0.14%. The holding were 979,978 shares as of 2018-09-30.

Vanguard Health Care Fund added to a holding in Tesaro Inc by 32.27%. The purchase prices were between $26.67 and $45.6, with an estimated average price of $35.39. The stock is now traded at around $31.03. The impact to a portfolio due to this purchase was 0.08%. The holding were 4,099,228 shares as of 2018-09-30.

Vanguard Health Care Fund added to a holding in Hill-Rom Holdings Inc by 52.69%. The purchase prices were between $86.94 and $98.28, with an estimated average price of $93.81. The stock is now traded at around $86.90. The impact to a portfolio due to this purchase was 0.05%. The holding were 770,000 shares as of 2018-09-30.

Vanguard Health Care Fund added to a holding in BeiGene Ltd by 80.09%. The purchase prices were between $152.62 and $189.66, with an estimated average price of $168.07. The stock is now traded at around $130.03. The impact to a portfolio due to this purchase was 0.05%. The holding were 301,765 shares as of 2018-09-30.

Vanguard Health Care Fund added to a holding in PRA Health Sciences Inc by 38.39%. The purchase prices were between $93.64 and $111.63, with an estimated average price of $103.98. The stock is now traded at around $99.20. The impact to a portfolio due to this purchase was 0.05%. The holding were 832,586 shares as of 2018-09-30.

Vanguard Health Care Fund added to a holding in Galapagos NV by 47.89%. The purchase prices were between $78.4 and $104.55, with an estimated average price of $90.81. The stock is now traded at around $90.70. The impact to a portfolio due to this purchase was 0.04%. The holding were 538,775 shares as of 2018-09-30.

Vanguard Health Care Fund sold out a holding in Envision Healthcare Corp. The sale prices were between $43.89 and $45.77, with an estimated average price of $44.92.

Vanguard Health Care Fund sold out a holding in Intuitive Surgical Inc. The sale prices were between $485.58 and $574.19, with an estimated average price of $532.41.

Vanguard Health Care Fund reduced to a holding in Cigna Corp by 27.9%. The sale prices were between $169.03 and $208.25, with an estimated average price of $185.38. The stock is now traded at around $214.60. The impact to a portfolio due to this sale was -0.41%. Vanguard Health Care Fund still held 2,760,889 shares as of 2018-09-30.

Vanguard Health Care Fund reduced to a holding in Illumina Inc by 35.13%. The sale prices were between $279.04 and $367.06, with an estimated average price of $329.08. The stock is now traded at around $311.52. The impact to a portfolio due to this sale was -0.27%. Vanguard Health Care Fund still held 787,788 shares as of 2018-09-30.

Vanguard Health Care Fund reduced to a holding in DexCom Inc by 36.3%. The sale prices were between $93.39 and $146.87, with an estimated average price of $123.92. The stock is now traded at around $136.76. The impact to a portfolio due to this sale was -0.09%. Vanguard Health Care Fund still held 714,600 shares as of 2018-09-30.