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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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- Definition

Amount, after allowance for credit loss, of right to consideration from customer for product sold and service rendered in normal course of business, classified as current.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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For an entity that discloses a concentration risk in relation to quantitative amount, which serves as the "benchmark" (or denominator) in the equation, this concept represents the concentration percentage derived from the division.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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