During Bransfield's tenure, new consultants were hired that greatly improved the hospital's finances, largely via a strategy of aggressively seeking out more reimbursement from Medicare and Medicaid.

These fees would eventually lead to a Justice Department lawsuit against the hospital for improperly billing the federal government for false claims.

This was not the only controversial aspect; in 2015–2018, the hospital transferred much of its then-windfall to the "Bishop's Fund", a charity created and controlled by Bransfield.

Around $21 million was transferred overall; members of the board said in 2019 they had no recollection of authorizing such at a meeting, leaving it unclear how it happened and why staff went along with Bransfield's request.

Bransfield stepped down from his role as Bishop in September 2018 after accusations of fiscal impropriety with the Diocese's money as well as allegations of sexual harassment of seminarians and young priests.