November 27, 2019

Paul A. Smith
President and Secretary
PF2 SpinCo LLC
6555 State Hwy 161
Irving, TX 75039

       Re: PF2 SpinCo LLC
           Draft Registration Statement on Form S-4/S-1
           Submitted October 31, 2019
           CIK No. 0001790930

Dear Mr. Smith:

       We have reviewed your draft registration statement and have the
following comments. In
some of our comments, we may ask you to provide us with information so we may
better
understand your disclosure.

       Please respond to this letter by providing the requested information and
either submitting
an amended draft registration statement or publicly filing your registration
statement on
EDGAR. If you do not believe our comments apply to your facts and circumstances
or do not
believe an amendment is appropriate, please tell us why in your response.

      After reviewing the information you provide in response to these comments
and your
amended draft registration statement or filed registration statement, we may
have additional
comments.

Draft Registration Statement on Form S-4/S-1 Furnished October 31, 2019

Questions and Answers about the Exchange Offer and the Transactions, page 7

1.     Please confirm supplementally that the exchange offer will be open for
at least 20 full
       business days to ensure compliance with Rule 14e-1(a).
Summary
Board of Directors and Management of Change Following the Transactions , page
39

2.     Please identify the members of the Board who are deemed Blackstone
Directors under the
       Stockholders Agreement. Discuss the terms of the agreement which allow
Blackstone to
       have majority representation on the Board.
 Paul A. Smith
PF2 SpinCo LLC
November 27, 2019
Page 2
The Transactions
Background of the Transactions, page 283

3.       Please revise to clarify if and when the parties discussed
alternatives to the Reverse
         Morris Trust structure for a Qualified McKesson Exit.
Ownership of Change Healthcare Inc. Common Stock, page 339

4.       Please disclose the number of holders of Change Healthcare Inc. common
stock as of the
         latest practicable date, if available.
PF2 SpinCo
Notes to the Combined Financial Statements
1. Basis of Presentation, page F-10

5.       Please confirm that the statements of operations on pages F-5 and F-22
reflect all
         expenses incurred by McKesson's interest in the Joint Venture and PF2
SpinCo LLC on
         behalf of PF2 SpinCo. Please tell us how you considered disclosure of
the allocation
         methods used pursuant to SAB Topic 1.B.1 Questions 1 and 2 as well as
compliance
         with Questions 3 and 4.
3. Equity Method Investment in the Joint Venture, page F-14

6.       Please provide a reconciliation between PF2 SpinCo's equity earnings
and charges to
         the joint venture results of Change Healthcare LLC as shown in the
joint venture's income
         statements for both the comparative annual periods ended March 31,
2019 and the interim
         periods ended June 30, 2019. Similarly, please also provide this
reconciling information
         for Change Healthcare, Inc. loss from equity method investment in the
joint venture for
         the same periods.
Change Healthcare LLC
Notes to the Condensed Consolidated Financial Statements
3. Revenue Recognition, page F-129

7.     Please revise to disclose each performance obligation by revenue type as
presented in your
       disaggregated revenue table in the segment footnote on page F-138.
Further, please
       consider quantifying the amount of revenue from each performance
obligation by revenue
       type distinguishing between over-time and point-in-time revenue
recognition. Finally,
       please tell us what consideration you gave to separately presenting
revenue and cost of
       revenue by tangible product and services on the face of your income
statement, and revise
FirstName LastNamePaul A. to guidance in Rule 5-03(b)(1) and (2) of Regulation
S-X.
       as appropriate. Refer Smith
Comapany NamePF2 SpinCo LLC your estimation of contingent fee services as
variable
8.   Please tell us and disclose how
November 27, 2019 Page 2 with the estimation methods noted in ASC 606-10-32-8.
     consideration complies
FirstName LastName
 Paul A. Smith
FirstName LastNamePaul A. Smith
PF2 SpinCo LLC
Comapany 27, 2019 SpinCo LLC
November NamePF2
Page 3
November 27, 2019 Page 3
FirstName LastName
9.       For your arrangements with multiple performance obligations, please
further clarify what
         "other approaches" you might use to determine the standalone selling
price. Please also
         quantify how much revenue is attributable to each of your methods
listed, including these
         other approaches. Please refer to any supporting accounting guidance,
as appropriate, in
         your response.
        You may contact Brittany Ebbertt, Senior Staff Accountant, at (202)
551-3572 or Craig
Wilson, Senior Advisor, at (202) 551-3226 if you have questions regarding
comments on the
financial statements and related matters. Please contact Matthew Crispino,
Staff Attorney, at
(202) 551-3456 or Jan Woo, Legal Branch Chief, at (202) 551-3453 with any other
questions.



                                                             Sincerely,

                                                             Division of
Corporation Finance
                                                             Office of
Technology
cc:      Alan Denenberg