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Employee Benefits and Share-Based Compensation - Narrative (Details) - USD ($)
12 Months Ended
Mar. 03, 2020
Feb. 13, 2020
Mar. 05, 2019
Feb. 13, 2019
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Shares reserved for future issuance (in shares)         7,144,000    
Share-based compensation expense         $ 44,697,000 $ 34,049,000 $ 28,885,000
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         $ 5,700,000 5,100,000 4,600,000
Stock Options              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Shares reserved for future issuance (in shares)         3,932,000    
Tax benefit realized from stock options exercised         $ (7,100,000) $ (6,300,000) (3,600,000)
ESPP              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Shares reserved for future issuance (in shares)         1,206,000    
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)         62,759 61,098  
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)         1,200,000    
Weighted average period of compensation cost recognized         1 year 3 months 18 days    
Shares purchased under ESPP (in shares)         333,000 374,000  
Weighted-average price (in dollars per share)         $ 48.77 $ 41.44  
Unrecognized compensation cost         $ 4,100,000    
2009 Plan              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Shares reserved for future issuance (in shares)         5,900,000    
Income tax benefit from share-based compensation         $ 10,300,000 $ 11,000,000.0 $ 6,500,000
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         $ 52,700,000    
Remaining weighted-average vesting period         7 years 8 months 12 days    
Weighted-average fair value per share (in dollars per share)         $ 26.48 $ 23.54 $ 17.22
Intrinsic value of options exercised         $ 39,800,000 $ 32,800,000 $ 20,100,000
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 1 month 6 days    
Weighted-average grant date fair value per award granted (in dollars per share)         $ 74.52 $ 78.49 $ 59.52
Fair value of awards vested         $ 11,200,000 $ 10,600,000 $ 7,900,000
Total unrecognized compensation cost         $ 40,500,000    
Awards granted (in shares)         343,000    
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    
Weighted-average grant date fair value per award granted (in dollars per share)         $ 68.11 $ 81.86 $ 46.60
Fair value of awards vested         $ 1,400,000 $ 1,000,000.0 $ 1,000,000.0
Total unrecognized compensation cost         $ 500,000    
Awards granted (in shares)         21,000    
2009 Plan | PSUs              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Weighted average period of compensation cost recognized         1 year 4 months 24 days    
Weighted-average grant date fair value per award granted (in dollars per share)         $ 82.17 $ 73.38 $ 38.03
Total unrecognized compensation cost         $ 5,600,000    
Awards granted (in shares)         99,000    
Fair value of awards vested         $ 3,700,000 $ 3,500,000 $ 3,200,000
2018 Performance Based Restricted Stock Units | PSUs              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Vesting period (in years)     36 months        
Percentile rank of stockholder return     90.00%        
Percentage of shares eligible for time-based vesting     100.00%        
Awards eligible for vesting (in shares)     110,432        
Percentage of award vesting     25.00%        
Awards vested by period end (in shares)         67,066    
2019 Performance Based Restricted Stock Units | PSUs              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Vesting period (in years) 36 months            
Percentile rank of stockholder return 70.00%            
Percentage of shares eligible for time-based vesting 100.00%            
Awards eligible for vesting (in shares) 61,098            
Percentage of award vesting 25.00%            
Awards vested by period end (in shares)         30,548