Group members wear hard hats and hold blueprints while standing together in a partially constructed room. Reverse labeled, "TCH [Texas Children's Hospital] expansion Mrs Cullen, Feigin, ? Board member, Desmond[,] Williamson," referring to Dr. Ralph Feigin, Dr. Murdina Desmond, and Dr. W. Danny Williamson. The number 869744 is written in pencil on reverse. Black-and-white photograph measures 4 1/2" x 6 1/2" and has a white border.