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Revenue from Contracts with Customers (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Oct. 31, 2022
Oct. 31, 2021
Oct. 31, 2022
Oct. 31, 2021
Disaggregation of Revenue [Line Items]        
Oncology services revenue $ 14,281 $ 11,786 $ 28,026 $ 23,039
Pharmacology services        
Disaggregation of Revenue [Line Items]        
Oncology services revenue 13,480 11,143 26,236 21,846
Other TOS revenue        
Disaggregation of Revenue [Line Items]        
Oncology services revenue 731 643 1,679 1,169
Personalized oncology services        
Disaggregation of Revenue [Line Items]        
Oncology services revenue $ 70 $ 0 $ 111 $ 24