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Revenue from Contracts with Customers (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Jan. 31, 2024
Jan. 31, 2023
Jan. 31, 2024
Jan. 31, 2023
Disaggregation of Revenue [Line Items]        
Oncology services revenue $ 12,019 $ 12,773 $ 36,153 $ 40,799
Pharmacology services        
Disaggregation of Revenue [Line Items]        
Oncology services revenue 11,184 12,119 33,919 38,355
Other TOS revenue        
Disaggregation of Revenue [Line Items]        
Oncology services revenue 835 648 2,216 2,328
Personalized oncology services        
Disaggregation of Revenue [Line Items]        
Oncology services revenue $ 0 $ 6 $ 18 $ 116