Background: Planning, budgeting, forecasting and financial evaluation have a contribution in providing hospital business strategies both in the short and long term. The importance of careful planning in the preparation of budgeting and the right forecasting to improve budget management performance in the hospital. Method : This research is qualitative research with interview data collection techniques, and observation in the form of questionnaires as supporting data. Data analysis using 3 stages, namely data reduction, data presentation, and conclusion drawing. Results and Discussion : The planning process in PKU Muhammadiyah Bantul Hospital is known to have run well, budgeting goes according to procedures by using applications and the budgeting process is bottom up so as to improve management performance, while evaluations are carried out every 6 months by the finance manager. Conclusion : The planning, budgeting, forecasting and financial evaluation process at PKU Muhammadiyah Bantul Hospital is known to have run quite well. The existence of technical and human resource barriers has caused the process to run less optimally. There is a need to improve the improvement of applications and improve the performance of human resources related to budgeting. Keywords : Planning, Budgeting, Forecasting, Financial Evaluation, Financial