The document discusses the declining attendance and participation in fine arts institutions and activities in the United States. It notes that attendance for events like ballet, opera, classical music, theater, and jazz have all declined significantly from 1982 to 2008. The median age of attendees has also increased. On average, people now spend less than 10 minutes per week participating in fine arts. The document proposes a new vision and blueprint called S@SFO to help recreate fine arts institutions by making them more accessible, diverse, impact-focused, and innovative through strategies like becoming an arts concierge and cultivating young audiences.