The Pirkles joined the staff of Hospital Loma de Luz in May, 2011. Vance is an ob/gyn and will be helping to develop an OB/GYN program at the hospital. They have 4 of their 5 children living with them in Honduras, Rebekah, Sarah, Caleb, and Phillip. Their oldest daughter, Elizabeth attends college in the states. The Pirkles served in Sanyati, Zimbabwe from 2005-2007.