Dear Dr. Kim,

On behalf of the Board of Directors of the Psychiatric Institute of Washington, I want to commend you on the excellent year-to-date performance of the new PIW Pharmacy. We recently reviewed in our Board Meeting the financial date through May 31, 2008 and are very impressed with the results. We appreciate the projections, planning and analyses that you have done, and most importantly, your leadership and hands-on management. Our pharmacy initiative has developed into an excellent working partnership.

Please also convey our appreciation to Paquita and Shanti for their work to make the pharmacy a success during this first year.

Sincerely,

Ken Courage

July 2008