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Condensed Consolidated Statements of Cash Flows - Unaudited - USD ($)
$ in Thousands
9 Months Ended
Sep. 29, 2017
Sep. 30, 2016
Cash flows from operating activities:    
Net income (loss) $ 12,341 $ (1,972)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:    
Depreciation and amortization 74,584 67,414
Debt related amortization included in interest expense 8,850 5,387
Stock-based compensation 9,895 7,179
Other non-cash losses 10,666 1,938
Deferred income taxes (6,821) (12,519)
Changes in operating assets and liabilities:    
Accounts receivable (13,958) 12,510
Inventories (20,259) (10,010)
Prepaid expenses and other current assets 8,460 (4,663)
Accounts payable 12,905 4,885
Accrued expenses 4,191 (5,650)
Income taxes 14,716 7,300
Net cash provided by operating activities 115,570 71,799
Cash flows from investing activities:    
Acquisition of property, plant and equipment (34,059) (46,968)
Purchase of cost and equity method investments (1,316) (2,917)
Other investing activities 673 (1,000)
Net cash used in investing activities (34,702) (50,885)
Cash flows from financing activities:    
Principal payments of long-term debt (156,526) (28,750)
Proceeds from issuance of long-term debt 50,000 57,000
Proceeds from the exercise of stock options 17,074 723
Payment of debt issuance costs (1,789) (781)
Distribution of cash and cash equivalents to Nuvectra Corporation 0 (76,256)
Purchase of non-controlling interests 0 (6,818)
Other financing activities (76) (3,983)
Net cash used in financing activities (91,317) (58,865)
Effect of foreign currency exchange rates on cash and cash equivalents 1,970 468
Net decrease in cash and cash equivalents (8,479) (37,483)
Cash and cash equivalents, beginning of period 52,116 82,478
Cash and cash equivalents, end of period $ 43,637 $ 44,995