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Revenue from Contracts with Customers (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Oct. 31, 2024
Oct. 31, 2023
Oct. 31, 2024
Oct. 31, 2023
Disaggregation of Revenue [Line Items]        
Total oncology services revenue $ 13,489 $ 11,573 $ 27,550 $ 24,134
Pharmacology services        
Disaggregation of Revenue [Line Items]        
Total oncology services revenue 12,498 10,876 25,567 22,735
Other TOS revenue        
Disaggregation of Revenue [Line Items]        
Total oncology services revenue 991 697 1,983 1,381
Personalized oncology services        
Disaggregation of Revenue [Line Items]        
Total oncology services revenue $ 0 $ 0 $ 0 $ 18