This study purpose to assess the level of financial distress companies from the calculation of the Altman Z - Score. Assessment procedures, financial distress in this study using the latest Z-Score formula that has been published by Altman on 1983 to calculate manufacturing companies that have Go Public. There are 7 variables as the basis for calculation is current assets, current liabilities, totals assets, totals liabilities, totals equity, EBIT, and retained earnings. This research is a descriptive study. The population in this study is Textile and Garment company listed on the Indonesia Stock Exchange in 2011-2014. The sample selection technique is a purposive sampling method and the research sample had six companies. The data used is the financial report audited from the Stock Exchange for companies of Textiles and Garments.These results indicate that the calculation of the Z - Score model is used as a measure of financial distress prediction in accordance with the classification determined by Altman. The prediction results stated that there are four companies is experiencing financial distress and two companies that have a healthy financial condition. Variables current liabilities, profits on hold, and total liabilities significantly affect the calculation of Z-Score and analysis of financial distress.