A silver color metal and enamel device 1 1/8 inches (2.86 cm) in height overall consisting of four silver windmill sails crosswise, inset with small maroon panels, and bearing at the hub a maroon Greek cross, all in front of and extending over a serrated circular burst of silver rays issuing from the hub; on a curved maroon scroll terminating at the sides between the sails and rays and enclosing the base in back of the sail, the inscription "WE SERVE TO SAVE" in silver letters.

Maroon and white (Silver) are colors used for the Army Medical Department.  The Hospital's location in New York, New York, is denoted by the windmill sails suggested by the coat of arms of New York City; the field of the coat of arms shield which is Argent (heraldic term for silver or white) is indicated by the silver color of the rays in the background.  The rays, which allude to radiant healing light, together with the cross, an emblem signifying devoted service and physical assistance, connote the Hospital's mission.

The distinctive unit insignia was approved on 13 August 1971.