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Debt - Additional Information (Detail) - USD ($)
9 Months Ended
Sep. 28, 2018
Sep. 30, 2018
Dec. 31, 2017
Mar. 17, 2014
Debt Instrument [Line Items]        
Letters of credit outstanding under the facility   $ 19,800,000 $ 19,600,000  
5.25% Senior Notes due March 15, 2019 [Member] | Senior Notes [Member]        
Debt Instrument [Line Items]        
Interest rate on debt   5.25%   5.25%
Maturity date of Senior notes payable   Mar. 15, 2019    
Debt instrument interest rate term   Interest is payable semi-annually on March 15 and September 15 of each year.    
Debt instrument restrictive covenants   The indenture governing the 2019 Notes (the “2019 Indenture”) contains, among other things, certain restrictive covenants, including limitations on incurring indebtedness, creating liens, selling assets and entering into certain transactions with affiliates. The covenants also limit PHI’s ability to, among other things, pay cash dividends on common stock, repurchase or redeem common or preferred equity, prepay subordinated debt and make certain investments.    
Percentage of principal amount redeemed   101.00%    
Related party term loan, amount issued       $ 500,000,000
6% Related Party Term Loan [Member] | Term Loan [Member]        
Debt Instrument [Line Items]        
Interest rate on debt   6.00%    
Related party term loan, amount issued $ 130,000,000      
Proceeds from related party debt 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   $ 12,000,000    
Letter of Credit to Guaranty International Contract Performance [Member]        
Debt Instrument [Line Items]        
Letters of credit outstanding under the facility   $ 7,800,000    
Revolving Credit Facility [Member]        
Debt Instrument [Line Items]        
Repayments of senior secured revolving credit facility, including accrued interest $ 122,700,000