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Basis of Presentation and summary of significant accounting policies - Accounts receivable (Details) - USD ($) $ in Thousands | 12 Months Ended |  |
--- | --- | --- | ---
Sep. 30, 2025 | Sep. 30, 2024 | Sep. 30, 2023
Product Information [Line Items] |  |  |
Accounts receivable, net | $ 34,697 | $ 29,116 | $ 25,978
Accounts Receivable | Customer Concentration Risk | Medicare |  |  |
Product Information [Line Items] |  |  |
Concentration risk, percentage | 18.00% |  |

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