:- Research objectives: (1) to partially analyze the influence of organizational fairness, engagement, motivation, on job satisfaction. (2) to partially analyze the influence of organizational fairness, engagement, motivation, on employee performance. (4) to partially analyze the influence of organizational fairness, engagement, motivation, on employee performance through job satisfaction. The research approach used is quantitative. Research locations at RSU Lasering, Sitti Hadijah Hospital, Della Medica Hospital. Popul breast milk as many as 510 paramedics and sample as many as 225 paramedics. Sampling technique by purposive sampling. The analysis method uses the Structural Equitation Model (SEM). Study results: (1) Organizational fairness, engagement, motivation partially positively and significantly affect job satisfaction. (2) Organizational fairness, engagement, motivation, and job satisfaction partially affect positively and significantly affect employee performance. (3) Job satisfaction has a positive and significant effect on employee performance. (4) Organizational fairness, engagement, motivation partially positively and significantly affect employee performance through job satisfaction.

Keywords : Organizational Fairness, Engagement, Motivation, Job Satisfaction, Employee Performance