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	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	Oct. 02, 2012 Central Adjustment	Oct. 02, 2012 Central Adjustment Favorable lease contracts	Oct. 02, 2012 Central Adjustment Trade name / trademarks	Oct. 02, 2012 Central Preliminary amounts	Oct. 02, 2012 Central Preliminary amounts Management contracts	Oct. 02, 2012 Central Preliminary amounts Favorable lease contracts	Oct. 02, 2012 Central Preliminary amounts Trade name / trademarks	Oct. 02, 2012 Central Preliminary amounts Existing technology	Oct. 02, 2012 Central Preliminary amounts Non-competition agreements
Fair values of the assets acquired and liabilities assumed
Net current liabilities														$ (25,444)											$ 2,597			$ (28,041)
Leasehold improvements, equipment, land and construction in progress, net														24,781											627			24,154
Identified intangible assets:																81,000		80,235		9,100		34,000		2,600		28,585	(5,800)		81,000	51,650	14,900	34,000	2,600
Other noncurrent assets														17,748														17,748
Long-term debt														(237,223)														(237,223)
Unfavorable lease contracts														(101,676)											(32,360)			(69,316)
Other noncurrent liabilities														(19,523)														(19,523)
Net long term deferred tax liability														(22,528)											1,988			(24,516)
Net (liabilities assumed)														(156,930)											(4,363)			(152,567)
Goodwill														306,599											4,363			302,236
Total consideration transferred														149,669														149,669
Reclassification from net current liabilities to net long term deferred tax liability																												24,434
Amortization period for unfavorable lease contracts												4 years
Weighted average useful lives of identified intangible assets															16 years		10 years		4 years		4 years 6 months		1 year
Unfavorable lease contract liability, including current portion														92,225
Expected future accretion of unfavorable lease contracts
2013														17,467
2014														12,897
2015														11,068
2016														10,312
2017														9,117
2018 and Thereafter														31,364
Total														92,225
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	8,255	1,723	1,807	1,728	1,725	1,683	1,677	1,533	13,513	6,618	6,074	5,944
Integration costs												10,007
Pro forma consolidated results of operations
Revenue, excluding reimbursed management contract revenue												880,062	866,513
Net loss from continuing operations attributable to Standard stockholders												$ (26,889)	$ (7,534)
Earnings per share from continuing operations attributable to Standard stockholders
Basic (in dollars per share)												$ (1.23)	$ (0.34)
Diluted (in dollars per share)												$ (1.23)	$ (0.34)
Combined statutory federal and state tax rate assumed												42.00%