The Social Insurance Administration Organization (BPJS) is a government agency that provide health services in the form of comprehensive health insurance for all Indonesian people. In the five years of implementation (2014-2018), the national health insurance program (JKN) has provided benefits for the community. However, the financial statements of the JKN program show that there are financial problems which more precisely show signs of financial distress. This study aims to determine the factors that influence the results of financial distress prediction on BPJS Health so that it can provide advice on financial distress in maintaining the continuity of BPJS Health. To predict financial distress, this study uses the Altman model (Z Score) using data source from the 2014-2018 BPJS Health financial report. The results of this study are internal factors (high financial costs and participant contributions) affect financial distress and external factors (BPJS participants and government intervention) influence financial distress.