The study examined the relationship between budgeting and strategic plan implementation at the Narok County Referral Hospital (NCRH). Using a descriptive research design and a sample size of 30, a principal component analysis (PCA) was used to reduce the number of variables in a data set. Correlation analysis showed a positive relationship between dependent variable (strategic plan implementation) and independent variable (budgeting). Formal budgeting and budgetary participation showed a direct moderate positive relationship with availability of resources and professionalism at the hospital. The study concluded that budgetary participation and formal budgeting improves the availability of hospital resources and professionalism. The study recommends improving formal budgeting and budgetary participation at NCRH for successful strategic plan implementation.