A silver color metal and enamel device 1 3/16 inches (3.02 cm) in height consisting of a maroon cross issuing from a horizontal wavy band divided horizontally blue, silver and blue, in base extending over the lower part of the band two maroon roundels conjoined and surmounted by a third, slightly lower, each roundel bearing a silver escallop shell; all beneath a silver scroll inscribed "SERVICE COMPASSION SKILL" in maroon letters.
The cross, emblem of service, mercy and care stands for the Hospital. The blue and white wavy band represents the Pacific Ocean over which the unit travelled and served during World War II and during the Vietnam Conflict. The roundels bearing escallop shells represent islands. They are three in number in commemoration of the Hospital's participation in three campaigns during World War II. The shell is also a symbol of life protection. Maroon and white (silver) are the colors used for units of the Army Medical Department.
The distinctive unit insignia was approved on 19 November 1969.