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Income Taxes - Summary of Components of Deferred Tax Assets and Liabilities (Details) - USD ($) $ in Thousands | Apr. 30, 2025 | Apr. 30, 2024
--- | --- | ---
Deferred tax assets |  |
Loss carryforwards | $ 52,281 | $ 34,572
Interest carryforward | 7,211 | 5,786
Accrued liabilities | 4,553 | 2,261
Operating lease liability | 539 | 354
Disposable medical equipment supplies | 224 | 161
U.S. research and development credits | 5,517 | 5,116
Intangible asset | 35,375 | 35,375
Share-based compensation | 4,998 |
Total deferred tax assets | 110,698 | 83,625
Less: valuation allowance for deferred tax assets | (103,815) | (79,028)
Net deferred tax assets | 6,883 | 4,597
Deferred tax liabilities |  |
Property and equipment | (6,233) | (4,161)
Prepaid expenses | (533) | (228)
Right-of-use assets | (257) | (284)
Total deferred tax liabilities | (7,023) | (4,673)
Net deferred tax liabilities | $ (140) | $ (76)

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