| N/A | % of shares held by all insiders |
| N/A | % of shares held by institutions |
| N/A | % of float held by institutions |
| N/A | Number of institutions holding shares |
| Holder | Shares | Date reported | % out | Value |
|---|---|---|---|---|
| Pictet North America Advisors SA | 215,507 | 30 Jun 2019 | 0.02% | 13,874,340 |
| Holder | Shares | Date reported | % out | Value |
|---|---|---|---|---|
| Vanguard Specialized-Health Care Fund | 32,545,532 | 31 Jan 2019 | 2.48% | 1,800,418,830 |
| Income Fund of America Inc | 20,106,200 | 30 Jun 2019 | 1.53% | 1,294,437,156 |
| Vanguard International Stock Index-Total Intl Stock Indx | 19,371,881 | 31 Jan 2019 | 1.48% | 1,071,652,456 |
| Dodge & Cox International Stock Fund | 15,463,200 | 31 Dec 2018 | 1.18% | 908,153,736 |
| Europacific Growth Fund | 12,090,000 | 30 Jun 2019 | 0.92% | 778,354,200 |
| New Perspective Fund Inc | 9,259,034 | 30 Jun 2019 | 0.71% | 596,096,608 |
| Vanguard Tax Managed Fund-Vanguard Developed Markets Index Fund | 7,592,928 | 31 Dec 2018 | 0.58% | 445,932,661 |
| Franklin Custodian Funds-Income Fund | 7,500,000 | 31 Dec 2018 | 0.57% | 440,475,000 |
| iShares MSCI Eafe ETF | 5,497,670 | 30 Jun 2019 | 0.42% | 353,939,994 |
| iShares Core MSCI EAFE ETF | 5,075,846 | 30 Jun 2019 | 0.39% | 326,782,965 |