A gold color metal and enamel device 1 1/8 inches (2.86 cm) in height overall consisting of a white isosceles triangle between and in front of two smaller gold isosceles triangles all with points up and above three wavy horizontal bars, one white between two blue, and in the center a maroon Greek cross; on a maroon scroll looped around the tops of the side triangles and behind the central triangle the inscription "AID" on the left, "AND" on the right, and the scroll convexly arched under the base and around the sides inscribed "COMFORT," all letters gold.
Maroon and white are colors used for the Army Medical Department. The organization's award for campaign service in the Ryukyus, Asiatic-Pacific Theater, World War II, is indicated by the white triangle and wavy bars which refer to "Operation Iceberg" the invasion of Okinawa, the largest of the islands in the Ryukyus. The gold triangles additionally connote the difficult mountainous terrain with resulting high casualties requiring hospitalization and treatment. The gold color also alludes to the agricultural wealth of Nebraska where the Hospital is located. The cross, which refers to the Hospital, is a symbol of aid and assistance and furthermore refers to the motto.
The distinctive unit insignia was approved on 28 April 1970.