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CONSOLIDATED STATEMENTS OF CASH FLOWS UNAUDITED (USD $)
In Thousands, unless otherwise specified
 3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Cash flows from operating activities:    
Net income (loss) $ 77,389us-gaap_ProfitLoss $ 63,774us-gaap_ProfitLoss
Income (Loss) from Discontinued Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest 0us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax (136)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax
Adjustments to reconcile net income to net cash flows from operating activities:    
Depreciation expense 14,697us-gaap_Depreciation 13,934us-gaap_Depreciation
Amortization expense 16,666us-gaap_AdjustmentForAmortization 19,802us-gaap_AdjustmentForAmortization
Changes in assets and liabilities, net of effects from acquisition and divestiture of businesses:    
Accounts receivable, net of provision for doubtful accounts (63,352)us-gaap_IncreaseDecreaseInAccountsReceivable (64,041)us-gaap_IncreaseDecreaseInAccountsReceivable
Inventories 56,000us-gaap_IncreaseDecreaseInInventories 69,784us-gaap_IncreaseDecreaseInInventories
Other current and noncurrent assets 101,418us-gaap_IncreaseDecreaseInOtherOperatingAssets (4,450)us-gaap_IncreaseDecreaseInOtherOperatingAssets
Accounts payable 94,298us-gaap_IncreaseDecreaseInAccountsPayable 54,154us-gaap_IncreaseDecreaseInAccountsPayable
Accrued employee compensation (8,478)us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities (4,647)us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities
Current and noncurrent liabilities 47,618us-gaap_IncreaseDecreaseInOtherOperatingLiabilities 23,412us-gaap_IncreaseDecreaseInOtherOperatingLiabilities
Net cash flows from operating activities of continuing operations 336,256us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations 171,586us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
Net cash flows from operating activities of discontinued operations 0us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations 5,912us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
Net cash flows from operating activities 336,256us-gaap_NetCashProvidedByUsedInOperatingActivities 177,498us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities:    
Acquisition of businesses, net of cash received (9,328)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired 0us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Proceeds from Divestiture of Businesses 0us-gaap_ProceedsFromDivestitureOfBusinesses 3,629us-gaap_ProceedsFromDivestitureOfBusinesses
Capital expenditures (13,473)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (26,165)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Payments for (Proceeds from) Other Investing Activities 0us-gaap_PaymentsForProceedsFromOtherInvestingActivities (12)us-gaap_PaymentsForProceedsFromOtherInvestingActivities
Net cash flows used in investing activities of continuing operations (22,801)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations (22,524)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
Net cash flows used in investing activities of discontinued operations 0us-gaap_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations (296)us-gaap_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
Net cash flows used in investing activities (22,801)us-gaap_NetCashProvidedByUsedInInvestingActivities (22,820)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities:    
Payments on Term Loans (5,000)ocr_PaymentsOfProceedsFromRevolvingCreditFacilityAndTermLoans (5,313)ocr_PaymentsOfProceedsFromRevolvingCreditFacilityAndTermLoans
Payments on long-term borrowings and obligations (2,385)us-gaap_RepaymentsOfOtherLongTermDebt (39,030)us-gaap_RepaymentsOfOtherLongTermDebt
Payments of Debt Issuance Costs (1,977)us-gaap_PaymentsOfDebtIssuanceCosts 0us-gaap_PaymentsOfDebtIssuanceCosts
Increase (decrease) in cash overdraft balance 13,734us-gaap_ProceedsFromRepaymentsOfBankOverdrafts (3,537)us-gaap_ProceedsFromRepaymentsOfBankOverdrafts
Payments for Omnicare common stock repurchases (125,000)us-gaap_PaymentsForRepurchaseOfCommonStock (95,417)us-gaap_PaymentsForRepurchaseOfCommonStock
Proceeds for stock awards and exercise of stock options, net of stock tendered in payment (6,512)ocr_Proceedspaymentsforstockawardsandexerciseofoptionsnetofstocktenderedforincometaxes 3,968ocr_Proceedspaymentsforstockawardsandexerciseofoptionsnetofstocktenderedforincometaxes
Dividends paid (21,171)us-gaap_PaymentsOfDividendsCommonStock (19,596)us-gaap_PaymentsOfDividendsCommonStock
Other 3,550us-gaap_ProceedsFromPaymentsForOtherFinancingActivities 849us-gaap_ProceedsFromPaymentsForOtherFinancingActivities
Net Cash Provided by (Used in) Financing Activities (144,761)us-gaap_NetCashProvidedByUsedInFinancingActivities (158,076)us-gaap_NetCashProvidedByUsedInFinancingActivities
Net increase (decrease) in cash and cash equivalents 168,694us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (3,398)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Increase (decrease) in cash and cash equivalents of discontinued operations 0us-gaap_NetCashProvidedByUsedInDiscontinuedOperations 5,616us-gaap_NetCashProvidedByUsedInDiscontinuedOperations
Increase (decrease) in cash and cash equivalents of continuing operations 168,694us-gaap_NetCashProvidedByUsedInContinuingOperations (9,014)us-gaap_NetCashProvidedByUsedInContinuingOperations
Cash and cash equivalents at beginning of period 153,799us-gaap_CashAndCashEquivalentsAtCarryingValue 356,001us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents at end of period $ 322,493us-gaap_CashAndCashEquivalentsAtCarryingValue $ 346,987us-gaap_CashAndCashEquivalentsAtCarryingValue