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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
 12 Months Ended
Dec. 28, 2018
Dec. 29, 2017
Dec. 30, 2016
Cash flows from operating activities:      
Net income $ 167,964 $ 66,679 $ 5,961
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization 88,988 102,796 90,524
Debt related charges included in interest expense 49,110 10,911 7,278
Stock-based compensation 10,470 14,680 8,408
Non-cash (gain) loss on equity investments (5,623) 2,965 1,495
Other non-cash losses 148 7,110 5,216
Deferred income taxes 61,126 (59,212) (7,350)
Disposal Group, Not Discontinued Operation, Gain (Loss) on Disposal (194,965) 0 0
Changes in operating assets and liabilities:      
Accounts receivable 9,289 (34,597) (2,169)
Inventories (16,094) (986) 22,170
Prepaid expenses and other assets 8,527 4,854 (3,846)
Accounts payable (94) 4,887 (1,127)
Accrued expenses (11,756) 14,977 (13,935)
Income taxes payable 209 14,293 (7,093)
Net cash provided by operating activities 167,299 149,357 105,532
Cash flows from investing activities:      
Acquisition of property, plant and equipment (44,908) (47,301) (58,632)
Proceeds from sale of property, plant and equipment 1,379 472 347
Purchase of equity investments (1,230) (1,316) (3,015)
Proceeds from Divestiture of Businesses 581,429 0 0
Other investing activities 0 209 (2,000)
Net cash provided by (used in) investing activities 536,670 (47,936) (63,300)
Cash flows from financing activities:      
Principal payments of long-term debt (705,469) (178,558) (46,000)
Proceeds from issuance of long-term debt 5,000 50,000 57,000
Proceeds from Stock Options Exercised 12,409 19,324 2,821
Payment of debt issuance and redemption costs (31,991) (2,360) (1,177)
Distribution of cash and cash equivalents to Nuvectra Corporation 0 0 (76,256)
Purchase of non-controlling interests 0 0 (6,818)
Payments Related to Tax Withholding for Share-based Compensation (5,029) (75) (3,982)
Other financing activities 0 0 2,266
Net cash used in financing activities (725,080) (111,669) (72,146)
Effect of foreign currency exchange rates on cash and cash equivalents 2,584 2,228 (448)
Net decrease in cash and cash equivalents (18,527) (8,020) (30,362)
Cash and cash equivalents, beginning of year 44,096 52,116 82,478
Cash and cash equivalents, end of year $ 25,569 $ 44,096 $ 52,116