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Goodwill and Other Intangible Assets - Schedule of Goodwill and Other Intangible Assets (Details) - USD ($)
12 Months Ended
Sep. 30, 2019
Sep. 30, 2018
May 25, 2018
Sep. 30, 2017
Goodwill $ 53,630,000 $ 43,591,000   $ 43,866,000
Licenses 72,597,000 67,523,000    
Tradename 2,215,000 2,215,000    
Indefinite Intangible Assets, Net, Total 128,442,000 113,329,000    
Finite-Lived Intangible Assets, Net, Total 1,139,000 1,794,000    
Total goodwill and other intangible assets 129,581,000 115,123,000 $ 495,000  
Discounted Leases [Member]        
Finite-Lived Intangible Assets, Net, Total $ 101,000 $ 108,000    
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 $ 565,000 $ 588,000    
Software [Member]        
Finite-Lived Intangible Asset, Useful Life 5 years 5 years    
Finite-Lived Intangible Assets, Net, Total $ 315,000 $ 834,000    
Distribution Agreement [Member]        
Finite-Lived Intangible Asset, Useful Life 3 years 3 years    
Finite-Lived Intangible Assets, Net, Total $ 158,000 $ 264,000