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Basis of Presentation and summary of significant accounting policies (Tables) | 12 Months Ended
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Sep. 30, 2025
Nature of operations |
Schedule of consolidated entities | ​
​ | ​ | ​
100 W. Commercial Street, LLC | ​ ​ ​ | Med Supply Center, Inc.
Acadia Medical Supply, Inc. | ​ ​ ​ | Medical West Healthcare Center, LLC
Access Respiratory Home Care, L.L.C. | ​ | Mediserve Medical Equipment of Kingsport, Inc.
Alliance Home Care & Mobile Diagnostics, L.L.C. | ​ | Metro-Med, Inc.
At Home Health Equipment, LLC | ​ | Metro-Med, Inc. - Los Alamitos
Black Bear Medical, Inc. |  | Metro-Med, Inc. - Ventura
Black Bear Medical Group, Inc. | ​ | NorCal Respiratory, Inc.
Black Bear Medical NH, Inc. | ​ | Northwest Medical, LLC
Care Medical Atlanta, LLC | ​ | Oxygen Plus
Care Medical of Athens, Inc. | ​ | Patient-Aids, Inc.
Care Medical of Augusta, LLC | ​ | Patient Home Monitoring, Inc
Care Medical of Gainesville, LLC | ​ | QHM Holdings Inc.
Care Medical Partners, LLC | ​ | QHM Investments I, LLC
Care Medical Savannah, LLC | ​ | Quipt Home Medical Inc.
Central Oxygen, Inc. | ​ | Rejuvenight, LLC
Coastal Med-Tech Corp. | ​ | Resource Medical, Inc.
Cooley Medical Equipment, Incorporated | ​ | Resource Medical Group Charleston, LLC
Focus Respiratory, LLC | ​ | Resource Medical Group, LLC
Good Night Medical, LLC | ​ | Respicare, Inc.
Good Night Medical of Ohio, LLC | ​ | Riverside Medical, Inc.
Good Night Medical of Texas, Inc | ​ | RTA Homecare, LLC
Great Elm Healthcare, LLC | ​ | Semo Drugs - Care Plus of Mo, Inc.
Health Technology Resources, LLC | ​ | Sleep Health Diagnostics, LLC
Heartland Health Therapy, LLC | ​ | Sleepwell, LLC
Heckman Healthcare Service & Supplies Inc. | ​ | Southeastern Biomedical Services, LLC
Hometown Medical LLC | ​ | Southern Pharmaceutical Corporation
IRB Medical Equipment, LLC |  | Thrift Home Care, Inc.
Legacy Oxygen and Home Care Equipment, LLC | ​ | Tuscan, Inc.
Mayhugh Drugs, Inc. | ​ | United Respiratory Services, LLC
Schedule of estimated useful lives of the assets | ​
​ | ​ | ​ | ​ | ​
Description | ​ ​ ​ | Estimated Useful Life
Rental equipment |  | 1 | - | 5 years
Vehicles | ​ | 1 | - | 5 years
Leasehold improvements |  | Life of lease 1 | - | 11 years
Office and technology equipment |  | ​ | ​ | 5 years
Buildings | ​ | ​ | ​ | 25 years
Right-of-use real estate |  | Life of lease 2 | - | 11 years
Right-of-use vehicles |  | Life of lease 2 | - | 7 years
Schedule of useful life of finite-lived intangible assets | ​
​ | ​ | ​ | ​ | ​
Description | ​ ​ ​ | Estimated Useful Life
Customer relationships |  | 10 | - | 20 years
Customer contracts | ​ | ​ | ​ | 2 years
Trade names |  | ​ | ​ | 10 years
Non-compete agreements |  | ​ | ​ | 5 years

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