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Property and Equipment - Additional Information (Details) (USD $)
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Property, Plant and Equipment [Line Items]      
Property, Plant and Equipment, Gross $ 87,677,000us-gaap_PropertyPlantAndEquipmentGross $ 75,682,000us-gaap_PropertyPlantAndEquipmentGross  
Accumulated depreciation and amortization (51,499,000)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment (40,428,000)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment  
Total property and equipment, net 36,178,000us-gaap_PropertyPlantAndEquipmentNet 35,254,000us-gaap_PropertyPlantAndEquipmentNet  
Depreciation and amortization 11,300,000omcl_DepreciationandAmortizationExpense 10,900,000omcl_DepreciationandAmortizationExpense 8,000,000omcl_DepreciationandAmortizationExpense
Equipment [Member]      
Property, Plant and Equipment [Line Items]      
Property, Plant and Equipment, Gross 42,829,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_EquipmentMember
40,180,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_EquipmentMember
 
Furniture and Fixtures [Member]      
Property, Plant and Equipment [Line Items]      
Property, Plant and Equipment, Gross 5,689,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_FurnitureAndFixturesMember
5,260,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_FurnitureAndFixturesMember
 
Leasehold Improvements [Member]      
Property, Plant and Equipment [Line Items]      
Property, Plant and Equipment, Gross 8,701,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_LeaseholdImprovementsMember
7,394,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_LeaseholdImprovementsMember
 
Purchased Software [Member]      
Property, Plant and Equipment [Line Items]      
Property, Plant and Equipment, Gross 28,920,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_SoftwareAndSoftwareDevelopmentCostsMember
20,199,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_SoftwareAndSoftwareDevelopmentCostsMember
 
Construction in Progress [Member]      
Property, Plant and Equipment [Line Items]      
Property, Plant and Equipment, Gross $ 1,538,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_ConstructionInProgressMember
$ 2,649,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_ConstructionInProgressMember