They have absolutely zero clue what they are doing. Merging/acquiring too many companies, too fast, without any thought into what the repercussions will be for business processes. Any simple task is impossible to complete with adequate quality where I can "feel proud of the work I did".
Ask a question, no one knows the answer. Literally everyone is confused, and it's impossible to figure out solutions to process issues, because there are too many cooks in the kitchen. Some Livongo teams are incompetent and overtly rude.
Too much stress, everyone thinks their "stuff" is the most important. And everyone freaks out when things aren't perfect. You brought together three companies at once and expected business growth, but can't even figure out how to structure teams.