Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified	12 Months Ended
Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Operating Activities
Net income	$ 30,518us-gaap_NetIncomeLoss	$ 23,979us-gaap_NetIncomeLoss	$ 16,178us-gaap_NetIncomeLoss
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	20,272	18,365	13,325
Loss on disposal of fixed assets	167us-gaap_GainLossOnDispositionOfAssets1	345us-gaap_GainLossOnDispositionOfAssets1	66us-gaap_GainLossOnDispositionOfAssets1
Impairment of software development costs and equity investments	350us-gaap_AssetImpairmentCharges	1,759us-gaap_AssetImpairmentCharges	0us-gaap_AssetImpairmentCharges
Provision for receivable allowance	941us-gaap_ProvisionForDoubtfulAccounts	110us-gaap_ProvisionForDoubtfulAccounts	582us-gaap_ProvisionForDoubtfulAccounts
Share-based compensation expense	12,785us-gaap_ShareBasedCompensation	11,151us-gaap_ShareBasedCompensation	9,214us-gaap_ShareBasedCompensation
Income tax benefits from employee stock plans	5,370	2,576	2,527
Excess tax benefits from employee stock plans	(5,834)	(3,673)	(3,182)
Provision for excess and obsolete inventories	542us-gaap_InventoryWriteDown	856us-gaap_InventoryWriteDown	394us-gaap_InventoryWriteDown
Deferred income taxes	1,402	787	2,718
Changes in operating assets and liabilities, net of business acquisitions:
Accounts receivable, net	(22,799)	(3,609)	(9,311)
Inventories	1,418us-gaap_IncreaseDecreaseInInventories	(5,410)us-gaap_IncreaseDecreaseInInventories	2,536us-gaap_IncreaseDecreaseInInventories
Prepaid expenses	(4,296)	(3,491)	(4,897)
Other current assets	53	1,566	(1,114)
Net investment in sales-type leases	1,048	1,723	(4,154)
Other assets	297	630	(3,831)
Accounts payable	1,611	(1,784)	1,751
Accrued compensation	270	7,991	4,285
Accrued liabilities	5,512	1,758	674
Deferred service revenue	5,086	82	2,914
Deferred gross profit	8,601	(815)	6,562
Other long-term liabilities	1,849	367	2,247
Net cash provided by operating activities	65,163	55,263	39,484
Investing Activities
Maturities of short-term investments	0	0	8,122
Acquisition of intangible assets and intellectual property	(327)	(356)	(373)
Software development for external use	(10,353)omcl_PaymentsforSoftwareForExternalUse	(7,761)omcl_PaymentsforSoftwareForExternalUse	(5,028)omcl_PaymentsforSoftwareForExternalUse
Purchases of property and equipment	(11,922)	(12,335)	(15,120)
Business acquisition, net of cash acquired	(20,723)	0	(156,312)
Net cash used in investing activities	(43,325)	(20,452)	(168,711)
Financing Activities
Proceeds from issuances under stock-based compensation plans	21,795	26,886	10,190
Employees' taxes paid related to restricted stock units	(3,744)	(2,223)	(1,241)
Common stock repurchases	(24,091)	(20,962)	(12,363)
Excess tax benefits from employee stock plans	5,834	3,673	3,182
Net cash provided by (used in) financing activities	(206)	7,374	(232)
Effect of exchange rate changes on cash and cash equivalents	(275)	33	10
Net increase (decrease) in cash and cash equivalents	21,357	42,218	(129,449)
Cash and cash equivalents at beginning of period	104,531	62,313	191,762
Cash and cash equivalents at end of period	125,888	104,531	62,313
Supplemental cash flow information
Cash paid for interest	61us-gaap_InterestPaid	122us-gaap_InterestPaid	28us-gaap_InterestPaid
Cash paid for taxes, net of refunds	9,161us-gaap_IncomeTaxesPaidNet	7,062us-gaap_IncomeTaxesPaidNet	6,676us-gaap_IncomeTaxesPaidNet
Supplemental disclosure of non-cash investing activities
Purchases of property and equipment	$ 273	$ 1,696	$ 0

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The cash outflow to reacquire common stock during the period.

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Amount of cash outflow to satisfy an employee's income tax withholding obligation as part of a net-share settlement of a share-based award.

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The cash outflow associated with the acquisition of a business, net of the cash acquired from the purchase.

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Amount of expense related to write-down of receivables to the amount expected to be collected. Includes, but is not limited to, accounts receivable and notes receivable.

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