Surprise — Madonna is showing off a full family picture!

The “Material Girl” singer shared a rare family photo on her Instagram on Monday with her entire family in order to celebrate a special anniversary.  She and her six children, 21-year-old Lourdes (with ex Carlos Leon), 17-year-old Rocco (with ex Guy Ritchie), Mercy, 12, David, also 12, and 5-year-old twins Estere and Stella — posed outside the children’s hospital she helped launch in Blantyre, Malawi, one year ago. 

The 59-year-old star captioned the special photo, “Tree of Life…..🌴 Mercy James Pediatric Hospital! 🏥 One Year Later! 👏🏻👏🏻👏🏻 #everythingislove #malawi 🇲🇼♥️ art work by @jacarandaschoolfororphans.”

Madonna named the children’s hospital Mercy after her 12-year-old daughter, Mercy, who she adopted for Malawi. The global icon has four children from the country and has become so invested in the country that she chose to dedicate funds from her charity  Raising Malawi in order to launch the medical facility in July 2017. It was the first children’s hospital in the country. 

Madonna shared a video of their visit, documenting the important work they are doing at the hospital. She shared the video on her Twitter account on Tuesday. 

Madonna certainly isn’t shy about sharing photos of her awesome kids, but it is rare to see the entire group in one sitting.