In 1966, Kienholz began to spend summers in Hope, Idaho, while still maintaining studio space in Los Angeles. Also around that time, he produced a series of "Concept Tableaux", which consisted of framed text descriptions of artwork that did not yet exist. He would sell these works of early Conceptual Art (though the term was not in widespread use at the time) for a modest sum, giving the buyer the right (upon payment of a larger fee) to have Kienholz actually construct the artwork. He sold a number of "Concept Tableaux", but only "The State Hospital" progressed to a completed artwork.