''The payment was in line with a nationally agreed collective employment agreement terms and conditions,'' DHB chief executive Chris Fleming said.
Fleming declined to give further detail, but the Otago Daily Times understands the clinician was a Dunedin Hospital specialist.
The 15 termination payments were worth $698,000 in total, compared with 18 the previous year, worth $643,000.
The report reveals another significant increase in the number of staff paid more than $100,000.
In 2016-17, 656 staff were paid more than $100,000, compared with 603 in 2015-16, and 561 in 2014-15.
At the top end, three staff were paid more than $520,000, when the previous year the highest paid was in the $500,000 to $510,000 band.
Commissioner Kathy Grant received $164,000 remuneration, and deputy commissioners Graham Crombie and Richard Thomson were paid $90,000 and $54,000 respectively.
The report's preamble canvassed a difficult year in which the board struggled with patient care crises in some services, although it emphasises ''achievements''.
''There have been important successes, including progress in meeting the target for providing faster cancer treatment and implementing the new raising healthy kids target.
''However, other areas have troubled us, including meeting our elective surgery targets and achieving shorter stays in the emergency department.
''The past year has also required us to confront major service challenges in ophthalmology and urology, where our systems and processes were unable to meet demands.
''The impact on patients has been unacceptable, and addressing the situation has required us to consider all aspects of the services, from our administrative processes, to the capacity of the service and developing more sustainable models of care,'' the report said.
Southern DHB — the numbers
12,700 elective procedures
81,000 emergency department presentations
4600 staff
320,600 people
3420 babies born
$21,800,000 deficit
$934,275,000 total revenue