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Debt 3.25% Convertible Senior Debentures (Details) (USD $)
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Gains (Losses) on Extinguishment of Debt $ 69,381,000us-gaap_GainsLossesOnExtinguishmentOfDebt $ 56,280,000us-gaap_GainsLossesOnExtinguishmentOfDebt $ 47,558,000us-gaap_GainsLossesOnExtinguishmentOfDebt
Long-term Debt, Gross 2,346,488,000us-gaap_DebtInstrumentCarryingAmount 2,500,434,000us-gaap_DebtInstrumentCarryingAmount  
3.25% Convertible Senior Debentures, Due 2035 [Member]      
Amortization of Financing Costs 1,000,000us-gaap_AmortizationOfFinancingCosts
/ us-gaap_DebtInstrumentAxis
= ocr_ConvertibleSeniorDebentures325Due2035Member
   
Debt Instrument, Interest Rate, Stated Percentage 3.25%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= ocr_ConvertibleSeniorDebentures325Due2035Member
   
Deferred Finance Costs, Gross 17,000,000us-gaap_DeferredFinanceCostsGross
/ us-gaap_DebtInstrumentAxis
= ocr_ConvertibleSeniorDebentures325Due2035Member
   
Total consideration to complete debt extinguishment     25,000,000ocr_TotalConsiderationToCompleteDebtExtinguishment
/ us-gaap_DebtInstrumentAxis
= ocr_ConvertibleSeniorDebentures325Due2035Member
Percent threshold average share price after stated period to allow cash distribution 120.00%ocr_PercentThresholdAverageSharePriceAfterStatedPeriodToAllowCashDistribution
/ us-gaap_DebtInstrumentAxis
= ocr_ConvertibleSeniorDebentures325Due2035Member
   
Percent stock price closes above conversion price for option of conversion 130.00%ocr_PercentStockPriceClosesAboveConversionPriceForOptionOfConversion
/ us-gaap_DebtInstrumentAxis
= ocr_ConvertibleSeniorDebentures325Due2035Member
   
Gains (Losses) on Extinguishment of Debt     2,000,000us-gaap_GainsLossesOnExtinguishmentOfDebt
/ us-gaap_DebtInstrumentAxis
= ocr_ConvertibleSeniorDebentures325Due2035Member
Long-term Debt, Gross   $ 427,500,000us-gaap_DebtInstrumentCarryingAmount
/ us-gaap_DebtInstrumentAxis
= ocr_ConvertibleSeniorDebentures325Due2035Member