Alternatives Pregnancy Center in Sacramento, California, has expanded its work beyond helping women facing unplanned pregnancies. The organization now operates as a full service women’s health clinic guided by its Christian faith.

The clinic also provides care for women seeking to embrace their biological sex after identifying as transgender. Although that service is not highlighted on its website, the center has doctors who specialize in hormone therapy.

Executive director Heidi Matzke said the clinic’s direction is rooted in listening to the Holy Spirit. She credits prayer and fasting with shaping the organization’s growth and its response to patients with unexpected needs.

Alternatives is among hundreds of pregnancy help centers across the country that assist women with unplanned pregnancies. While these organizations may use different names, Matzke said her center developed into a broader women’s health provider.

When Matzke took over the organization years ago, she believed she needed divine guidance. The challenge of leading the ministry prompted her to seek what she described as heavenly help.

Matzke told Fox News, "When God called me into this ministry ... I felt the Holy Spirit impress upon my heart back then, 'Heidi, you're right. You have no idea what you're doing, and that's why you'd better be face-down before me every single day. You better be fasting and praying.'"

Matzke said she followed that direction by fasting, praying and listening. The eventual result was a pregnancy help center that also offered a wider range of health services for women.

Another pivotal moment came after the full service clinic launched. Matzke was invited to speak at a church, but the pastor gave her only two minutes for her presentation.

Before speaking, she asked the Holy Spirit to guide her brief remarks. Matzke said she felt directed to discuss only the women’s health services available through the center, leaving out even its assistance for unplanned pregnancies.

The congregation received the presentation respectfully and politely, but Matzke came away feeling defeated. Between church services, however, a visitor approached her in the pews and revealed a deeply personal struggle.

The visitor told Matzke, "What you don't know about me is that I'm biologically female, and I encountered Christ . The Holy Spirit has done work in my heart, and I am now trying to detransition. But my current doctors have basically abandoned me and I have nowhere to go."

That visitor was Jessica Rose, whose story has since circulated online. Rose told Matzke that she had been sobbing uncontrollably during the short church presentation.

Rose said she had prayed that morning for God to provide free women’s medical care because she was dealing with serious medical issues. Matzke’s decision to focus exclusively on the clinic’s women’s health services directly addressed the help Rose had been seeking.

According to the account, Rose’s doctors had been eager to begin hormones and perform surgery to remove her breasts after only a 30-minute consultation. When she later sought to detransition, she told Matzke that her existing doctors had essentially abandoned her.

The encounter transformed Matzke’s understanding of what a full service women’s clinic could provide. The center became a place intended to strengthen adult females and encourage them to love themselves as they are through the Gospel of Christ.

Matzke discusses her meeting with Rose on an episode of the "Lighthouse Faith" podcast. She also recounts the events that deepened her determination to build a full service health clinic led by the Gospel.

For Matzke, the experience reflects her belief that listening to the Holy Spirit can bring healing in ways people may not anticipate. Her encounter with Rose became a defining example of how the clinic’s expanded medical mission could reach women beyond its original pregnancy services.