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Employee Benefits and Share-Based Compensation - Narrative (Details) - USD ($)
3 Months Ended 12 Months Ended
Mar. 05, 2019
Feb. 13, 2019
Mar. 06, 2018
Feb. 06, 2018
Mar. 31, 2019
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Shares reserved for future issuance (in shares)           9,010,000    
Income tax benefits from employee stock plans               $ 11,000
Share-based compensation expense           $ 34,049,000 $ 28,885,000 21,857,000
Omnicell Plan | Other Postretirement Benefit Plan                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Employer matching contribution, percent of employee contribution           50.00%    
Maximum amount of employer contribution           $ 3,000    
401(k) contributions           $ 5,100,000 $ 4,600,000 3,800,000
Stock Options                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Shares reserved for future issuance (in shares)           3,902,000    
Stock Options Impacted by Modifications                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Share-based compensation expense         $ 200,000      
Unrecognized compensation cost of unvested stock options           $ 600,000    
Remaining weighted-average vesting period           1 year 10 months 24 days    
ESPP                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Shares reserved for future issuance (in shares)           1,539,000    
PSUs                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Trading days used for stock price appreciation calculation   20 days   20 days        
PSUs | Officer                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Awards granted (in shares)           61,098 110,432  
1997 Plan | ESPP                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Maximum percentage of earnings allowed for purchase of shares           15.00%    
Maximum fair market value of shares           $ 25,000    
Purchase price of common stock, percent           85.00%    
Offering period           24 months    
Purchasing period           6 months    
Shares reserved for future issuance (in shares)           1,500,000    
Weighted average period of compensation cost recognized           1 year 3 months 18 days    
Shares purchased under ESPP (in shares)           374,000    
Weighted-average price (in dollars per share)           $ 41.44    
Unrecognized compensation cost           $ 1,600,000    
2009 Plan                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Shares reserved for future issuance (in shares)           7,500,000    
Income tax benefits from employee stock plans           $ 11,000,000.0 $ 6,500,000 $ 8,200,000
2009 Plan | Stock Options                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Vesting period (in years)           4 years    
Unrecognized compensation cost of unvested stock options           $ 39,500,000    
Remaining weighted-average vesting period           7 years 8 months 12 days    
Weighted-average fair value per share (in dollars per share)           $ 23.54 $ 17.22 $ 13.25
Intrinsic value of options exercised           $ 32,800,000 $ 20,100,000 $ 18,200,000
Weighted average period of compensation cost recognized           2 years 9 months 18 days    
2009 Plan | Stock Options | Vesting One Year from Commencement Date                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Vesting period (in years)           1 year    
Percentage of award vesting           25.00%    
2009 Plan | Stock Options | Vesting in Equal Monthly Installments                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Vesting period (in years)           36 months    
2009 Plan | RSUs                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Vesting period (in years)           4 years    
Weighted average period of compensation cost recognized           3 years    
Awards granted (in shares)           277,000    
Weighted-average grant date fair value per award granted (in dollars per share)           $ 78.49 $ 59.52 $ 45.97
Fair value of awards vested           $ 10,600,000 $ 7,900,000 $ 6,500,000
Total unrecognized compensation cost           $ 31,500,000    
2009 Plan | RSUs | Vesting One Year from Commencement Date                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Vesting period (in years)           1 year    
Percentage of award vesting           25.00%    
2009 Plan | RSUs | Vesting in Equal Monthly Installments                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Vesting period (in years)           3 years    
2009 Plan | RSAs                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Weighted average period of compensation cost recognized           4 months 24 days    
Awards granted (in shares)           17,000    
Weighted-average grant date fair value per award granted (in dollars per share)           $ 81.86 $ 46.60 $ 41.10
Fair value of awards vested           $ 1,000,000.0 $ 1,000,000.0 $ 1,000,000.0
Total unrecognized compensation cost           $ 500,000    
2009 Plan | PSUs                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Weighted average period of compensation cost recognized           1 year 3 months 18 days    
Awards granted (in shares)           71,000    
Weighted-average grant date fair value per award granted (in dollars per share)           $ 73.38 $ 38.03 $ 34.05
Fair value of awards vested           $ 3,500,000 $ 3,200,000 $ 2,600,000
Total unrecognized compensation cost           $ 3,100,000    
2017 Performance Based Restricted Stock Units | PSUs                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Vesting period (in years)           36 months    
Awards eligible for vesting (in shares)     147,830          
Percentage of award vesting     25.00%          
Awards vested by period end (in shares)           81,322    
Percentile rank of stockholder return     60.00%          
Percentage of shares eligible for time-based vesting     100.00%          
2018 Performance Based Restricted Stock Units | PSUs                
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                
Vesting period (in years)           36 months    
Awards eligible for vesting (in shares) 110,432              
Percentage of award vesting 25.00%              
Awards vested by period end (in shares)           46,376    
Percentile rank of stockholder return 90.00%              
Percentage of shares eligible for time-based vesting 100.00%