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Employee Benefits and Share-Based Compensation - Stock Option Activity (Details) (2009 Plan [Member], USD $)
Share data in Thousands, except Per Share data, unless otherwise specified
3 Months Ended 12 Months Ended
Mar. 31, 2015
Dec. 31, 2014
Number of Shares    
Outstanding at December 31, 2014 2,672us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber  
Granted 151us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross  
Exercised (132)us-gaap_StockIssuedDuringPeriodSharesStockOptionsExercised  
Expired 0us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpirationsInPeriod  
Forfeited (16)us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsForfeituresInPeriod  
Outstanding at March 31, 2015 2,675us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber 2,672us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
Exercisable at March 31, 2015 (in shares) 1,529us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestExercisableNumber  
Vested and expected to vest at March 31, 2015 (in shares) 2,643us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingNumber  
Weighted Average Exercise Price    
Outstanding at December 31, 2014 $ 19.02us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice  
Granted $ 33.73us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice  
Exercised $ 15.69us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice  
Expired $ 0.00us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExpirationsInPeriodWeightedAverageExercisePrice  
Forfeited $ 22.60us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice  
Outstanding at March 31, 2015 $ 19.98us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice $ 19.02us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
Exercisable at March 31, 2015 (in dollars per share) $ 16.11us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestExercisableWeightedAverageExercisePrice  
Vested and expected to vest at March 31, 2015 (in dollars per share) $ 19.88us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingWeightedAverageExercisePrice  
Weighted-average remaining years, outstanding (in years) 6 years 7 months 6 days 6 years 6 months
Weighted-average remaining years, exercisable at December 31, 2014 (in years) 5 years  
Weighted-average remaining years, vested and expected to vest at March 31, 2015 (in years) 6 years 6 months  
Aggregate Intrinsic Value, outstanding at March 31, 2015 $ 40,442,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue  
Aggregate Intrinsic Value, exercisable at March 31, 2015 29,042,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestExercisableAggregateIntrinsicValue  
Aggregate Intrinsic Value, vested and expected to vest at March 31, 2015 40,234,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestOutstandingAggregateIntrinsicValue  
Employee Stock Option [Member]
   
Weighted Average Exercise Price    
Weighted-average fair value (in usd per share) $ 9.82us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
/ us-gaap_PlanNameAxis
= omcl_TwoThousandNinePlanMember
$ 8.29us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
/ us-gaap_PlanNameAxis
= omcl_TwoThousandNinePlanMember
Intrinsic value of options exercised 2,400,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
/ us-gaap_PlanNameAxis
= omcl_TwoThousandNinePlanMember
5,300,000us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
/ us-gaap_PlanNameAxis
= omcl_TwoThousandNinePlanMember
Unrecognized compensation cost of unvested stock options $ 9,200,000us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognizedStockOptions
/ us-gaap_AwardTypeAxis
= us-gaap_EmployeeStockOptionMember
/ us-gaap_PlanNameAxis
= omcl_TwoThousandNinePlanMember
 
Weighted average period of compensation cost recognized 2 years 9 months