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Debt - Additional Information (Detail)
2 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended 13 Months Ended 14 Months Ended 19 Months Ended
Mar. 13, 2019
USD ($)
Aircraft
Sep. 28, 2018
USD ($)
Mar. 13, 2023
Sep. 30, 2021
Mar. 31, 2021
Sep. 30, 2020
Sep. 30, 2021
Dec. 30, 2022
Mar. 31, 2020
Mar. 13, 2023
Sep. 30, 2020
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Mar. 17, 2014
USD ($)
Debt Instrument [Line Items]                            
Letters of credit outstanding under the facility                       $ 19,800,000 $ 19,600,000  
Principal                       $ 630,000,000 617,500,000  
5.25% Senior Notes due March 15, 2019 [Member] | Senior Notes [Member]                            
Debt Instrument [Line Items]                            
Interest rate on Senior Notes                       5.25%   5.25%
Debt issued                           $ 500,000,000.0
Principal                       $ 500,000,000 500,000,000  
6% Related Party Term Loan [Member] | Medium-term Notes [Member]                            
Debt Instrument [Line Items]                            
Interest rate on Senior Notes                       6.00%    
Debt issued   $ 130,000,000                        
Proceeds from Related Party Debt   130,000,000                        
Principal                       $ 130,000,000    
Letter of Credit to Secure workers Compensation Policies, Air Medical License, and a Traditional Provider Contract [Member]                            
Debt Instrument [Line Items]                            
Letters of credit outstanding under the facility                       12,100,000    
Revolving Credit Facility [Member]                            
Debt Instrument [Line Items]                            
Letters of credit outstanding under the facility                       7,700,000    
Repayments of Lines of Credit   $ 122,700,000                        
Principal                       $ 0 $ 117,500,000  
Subsequent Event [Member] | Medium-term Notes [Member]                            
Debt Instrument [Line Items]                            
Debt issued $ 70,000,000                          
Principal $ 70,000,000                          
Number of aircraft securing debt agreement | Aircraft 91                          
Debt covenant, minimum unrestricted cash requirement at the end of each calendar month $ 20,000,000                          
Debt covenant, minimum cash and cash equivalents held solly by the Company and guarantors $ 10,000,000                          
Debt covenant, appraisal ratio of aircraft collateral at quarter end 4.00                          
Event of default, judgments (in excess of) $ 2,500,000                          
Event of default, ERISA event liabilities (in excess of) 2,500,000                          
Event of default, impairments of collateral (in excess of) $ 2,500,000                          
LIBOR [Member] | Subsequent Event [Member] | Medium-term Notes [Member]                            
Debt Instrument [Line Items]                            
Basis spread on variable rate (percent) 6.00%                          
Base Rate [Member] | Subsequent Event [Member] | Medium-term Notes [Member]                            
Debt Instrument [Line Items]                            
Basis spread on variable rate (percent) 5.00%                          
Scenario, Forecast [Member] | Medium-term Notes [Member]                            
Debt Instrument [Line Items]                            
Debt covenant, minimum fixed charge ratio at the end of each test period       0.9125 0.3750 0.1875     0 1.2000        
Debt covenant, secured leverage ratio, at test period end     3.75       4.25 4.00     4.50