Chief Operating Officer Warrick Frater said paid parking would ultimately provide more money for health care. "The money you spend on car parks you don't spend on health care."
Board members spent nearly an hour questioning the findings of the business case, and expressed strong views against it going ahead.
Hawke's Bay did not have effective enough public transport or a wealthy enough population to implement the scheme, and it was not fair to charge all levels of staff the same fees, said Diana Kirton.
Visiting ill family members was already an expensive and emotionally draining effort, especially if you had to travel from rural areas, to add parking and penalties to the mix, said Ngahiwi Tomoana.
Dan Druzianic said staff engagement was the number one asset to the DHB, and management relied heavily on that goodwill to implement a range of other cost-cutting measures in the tough financial climate.