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Goodwill and Other Intangible Assets - Schedule of Goodwill and Other Intangible Assets (Details) - USD ($)
$ in Thousands
12 Months Ended
Sep. 30, 2018
Sep. 30, 2017
May 25, 2018
Sep. 30, 2016
Goodwill $ 44,425 $ 43,866   $ 45,847
Licenses 67,523 70,644    
Tradename 2,215 2,215    
Indefinite Intangible Assets, Net, Total 114,163 116,725    
Finite-Lived Intangible Assets, Net, Total 1,794 1,565    
Total goodwill and other intangible assets 115,957 118,290 $ 495  
Discounted Leases [Member]        
Finite-Lived Intangible Assets, Net, Total $ 108 $ 116    
Discounted Leases [Member] | Maximum [Member]        
Finite-Lived Intangible Asset, Useful Life 18 years 18 years    
Discounted Leases [Member] | Minimum [Member]        
Finite-Lived Intangible Asset, Useful Life 6 years 6 years    
Non-compete Agreements [Member]        
Finite-Lived Intangible Asset, Useful Life 5 years 5 years    
Finite-Lived Intangible Assets, Net, Total $ 588 $ 681    
Software [Member]        
Finite-Lived Intangible Asset, Useful Life 5 years 5 years    
Finite-Lived Intangible Assets, Net, Total $ 834 $ 768    
Distribution Agreement [Member]        
Finite-Lived Intangible Asset, Useful Life 3 years 3 years    
Finite-Lived Intangible Assets, Net, Total $ 264