Waikato District Health Board is looking to save $30 million over the next three years and is not ruling out job cuts.
Chief executive Craig Climo told the DHB's 6000 employees yesterday that savings of $20m needed to be found from July this year and then a further $5m in each of the two following years.
Mr Climo told Radio New Zealand it was currently running at a surplus but needed to find ways to plug a $20m gap this year.
"We will be looking almost certainly at jobs," he said.
"Clearly what we're not going to do is to sacrifice clinical and patient outcomes."
Mr Climo says if cuts to staff levels need to be made it will first look at roles other than those on the front line.
"You start further back than the front line but I'm not going to rule out the front line. There's a lot of staff. If we were to say, for example, this has to come entirely out of administrative staff, that would be a totally unreasonable burden - the organisation couldn't function."
Mr Climo says the DHB is looking at a range of options to reduce costs but it won't come at expense of services to patients.
"We are not going to be reducing the quality of our services such that there is any detriment in terms of patient outcomes. That is just not acceptable, it won't happen."
NZN