Acquisitions (Details 2) (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended								12 Months Ended							12 Months Ended		12 Months Ended		12 Months Ended		12 Months Ended		12 Months Ended
	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2012 Central	Dec. 31, 2011 Central	Oct. 02, 2012 Central	Sep. 30, 2012 Central	Dec. 31, 2012 Central Management contracts	Oct. 02, 2012 Central Management contracts	Dec. 31, 2012 Central Favorable lease contracts	Oct. 02, 2012 Central Favorable lease contracts	Dec. 31, 2012 Central Trade name / Trademarks	Oct. 02, 2012 Central Trade name / Trademarks	Dec. 31, 2012 Central Existing Technology	Oct. 02, 2012 Central Existing Technology	Dec. 31, 2012 Central Non-competition Agreements	Oct. 02, 2012 Central Non-competition Agreements
Preliminary values of assets acquired and liabilities assumed
Net current liabilities														$ (52,475)
Leasehold improvements, equipment, land and construction in progress, net														24,154
Identified intangible assets:																	81,000		51,650		14,900		34,000		2,600
Other noncurrent assets														17,748
Long-term debt														(237,223)
Unfavorable lease contracts														(69,316)
Other noncurrent liabilities														(19,523)
Net deferred tax liability														(82)
Net assets acquired														(152,567)
Goodwill														302,236
Total consideration transferred														149,669	149,669
Amortization period for unfavorable lease contracts												7 years
Weighted average useful lives of identified intangible assets																16 years		10 years		7 years		4 years 6 months		1 year
Unfavorable lease contract liability, including current portion														59,337
Expected future accretion of unfavorable lease contracts
2013														15,002
2014														10,668
2015														7,084
2016														5,885
2017														5,038
2018 and Thereafter														15,660
Total														59,337
Information for Central that is included in the Company's Consolidated Statements of Income
Total revenue												190,008
Operating loss												(9,263)
Depreciation and amortization	7,983	1,723	1,807	1,728	1,725	1,683	1,677	1,533	13,241	6,618	6,074	5,944
Integration costs												10,007
Pro forma consolidated results of operations
Revenue, excluding reimbursed management contract revenue												859,366	866,513
Net loss from continuing operations attributable to Standard stockholders												(28,484)	(7,534)
Earnings per share from continuing operations attributable to Standard stockholders
Basic (in dollars per share)												$ (1.31)	$ (0.34)
Diluted (in dollars per share)												$ (1.31)	$ (0.34)
Elimination of historical intangible asset amortization and depreciation expense												30,805	25,839
Additional amortization and depreciation expense related to the fair value of intangible assets acquired												18,751	14,591
Elimination of interest expense related to former credit facilities that were retired in connection with the merger												21,046	24,608
Additional interest expense associated with the incremental debt issued												17,486	17,729
Elimination of equity based compensation expense												430	579
Elimination of long-lived asset impairment												3,159	2,599
Elimination of costs, which are directly attributable to the acquisition												$ 26,784	$ 2,658
Combined statutory federal and state tax rate assumed												42.00%