An organization is expected to have individuals who are committed to advancing the organization. Commitment expected by the organization can foster a feeling of motivation and high morale. Employee commitment will be created through job satisfaction. One of the factors that influence job satisfaction is income. This research was conducted in Pekalongan Kraton Hospital to examine four variables, namely distributive and procedural justice compensation as exogenous variables, job satisfaction as mediating variables and affective commitment as endogenous variables. Data analysis techniques in this study using SEM (Structural Equation Modeling). The respondents in this study were 132 paramedic employees. The results show that distributive justice compensation has a significant positive effect on job satisfaction and affective commitment. Job satisfactions as a mediating influence of distributive justice compensation to affective commitment