Current first lady Melania Trump also is in the photo along with former first ladies Laura Bush, Hillary Clinton and Michelle Obama.
George H.W. Bush seems to be recovering well from his hospitalization, but losing a wife of seven-plus decades has surely taken a toll on the great patriot.
Spokesman Jim McGrath said the 93-year-old was admitted to Houston Methodist Hospital on Sunday morning.
Bush's office said he was "responding to treatments and appears to be recovering" after "contracting an infection that spread to his blood".
Tuesday a family spokesperson says the President has since stabilized and is awake, alert and talking.
Chill and rain to arrive in Taiwan on April 24
There is a slight chance of a shower by Sunday night with a bit higher chance of rain in days following that. As high pressure continues its hold on New Jersey's atmosphere, we'll continue the dry forecast for Monday .
Barbara Bush had congestive heart failure and chronic obstructive pulmonary disease in the years before her death.
George H.W. Bush attended the funeral along with three other former presidents, his son, George W. Bush, Bill Clinton and Barack Obama.
Both Bushes had been hospitalized off and on over the past couple years.
People in their 90s with Parkinson's disease are often at higher risk of pneumonia and other infections because their swallowing process can be compromised, said Dr. David Reuben, a professor of geriatric medicine at the UCLA medical school in Los Angeles.
In February 2011, Obama awarded Bush the highest U.S. civilian honor, the Medal of Freedom.