A gold color metal and enamel device 1 3/16 inches (3.02 cm) in height consisting of a red cross bearing a white sun with twelve white rays the foot of the cross issuing from a continuous gold scroll, the ends doubled maroon and passing behind the horizontal arms of the cross to form a loop above the upper arm, the upper part of the scroll inscribed "SURGICAL CARE" and the lower part "MOBILITY," all in maroon letters.
The red cross, symbol of mercy, service and physical care stands for the Hospital. The white sun with twelve rays is taken from the flag of Nationalist China. It is used on the World War II shoulder sleeve insignia for China, Burma, India Theater and refers to the Hospital's participation in the China Defensive campaign. In addition, the sun which sustains life on earth, stands for light or knowledge, energy and healing. The colors maroon and white are for the Army Medical Department.
The distinctive unit insignia was originally approved for the 32d Surgical Hospital on 13 October 1969. It was redesignated for the 32d Combat Support Hospital on 9 February 1973.