In June, 2010, Pat Duff move to Guatemala with a passion to serve the poor and disabled in this Central American country under the Josiah Foundation. Since that time, she has founded Reason to Hope, Inc. and now employs a staff of five full-time and two part-time workers, operates and assisted living home, and provides discipleship and educational opportunities for those in the Antigua Guatemala area.

In June, 2017, Pat formed Reason to Hope, Inc. and approved 501 (c) (3) charitable organization. Pat oversees and works in the daily operation of the ministry in Guatemala, and is supported and assisted by a Board of Directors for the corporation.  Currently, Mike and Marty Frisina, long-time supporters of the ministry, are serving as President and Secretary/Treasurer of Reason to Hope, Inc.  They are the US contacts for the ministry, receive and process donations, and help promote our work.  The Board will be expanded as the need arises and God directs.