An animated video clip depicting the chief executive as a dancing Christmas elf has reportedly "stunned" some doctors at the Southern District Health Board.
The Christmas message to staff depicts Carole Heatly's face superimposed on to a cartoon elf, which dances merrily to music while decorations spring up in a house.
The festive gimmick has raised a few eyebrows at the board, which faces serious clinical service and financial challenges.
This month it was revealed Ms Heatly received a pay rise of about $70,000 in a single year, taking her salary to more than $500,000, in the same year the board had posted a $17.8 million deficit.
The increase was said to be because the State Services Commission regraded the job.