The former boss of NHS Grampian received a pay-out of more £255,700 when he stepped down earlier this year.
Richard Carey resigned as chief executive last November, just days before a damning watchdog report was released.
He subsequently took early retirement in January of this year.
And now accounts published on the health board’s website reveal Mr Carey was given a single compensation payment of £255,789 when he left.
A spokeswoman for NHS Grampian last night said the payment was based on the terms of Mr Carey’s pension agreement.
But last night North-East MSP Lewis Macdonald criticised the amount paid out to Mr Carey.
He said: “People will be appalled to find out that NHS managers are getting huge payoffs. There are already millions of pounds of waste in NHS budgets.”
An NHS Grampian spokeswoman said: “In line with the scheme rules and based on accrued reckonable service at the date of retirement a single compensation payment was made to the NHS Pension Scheme administered by the Scottish Public
Pensions Agency. Reckonable service is defined as service on which employee and employer pension contributions are paid.
“No redundancy payment, no service enhancement and no other compensation for loss of office was received by Mr Carey.
All of the relevant information is disclosed in the NHS Grampian’s annual accounts.”