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Business Segments and Geographic Areas - Schedule of Financial Information Concerning Reportable Operating Segments (Parenthetical) (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Segment Reporting Information [Line Items]      
Interest expense $ 29,066 $ 29,510 $ 29,756
Air Medical [Member] | Reportable Operating Segments [Member]      
Segment Reporting Information [Line Items]      
Interest expense     $ 300