A gold color metal and enamel device 1 1/8 inches (2.86 cm) in height consisting of a white cross charged with five maroon five-pointed stars placed three on the vertical arm and one near each end of the lateral arms separated by two maroon arrowheads all on a green background indented at top and contained by a continuous wavy scarlet scroll passing in front of and just below the upper and lower ends of the cross and passing behind near the ends of the lateral arms; on the upper section of the scroll in gold letters the inscription "TO HEALTH AND COUNTRY."
White and maroon are the colors used by Medical units; the cross is symbolic of the Hospital and its function. The colors green, white and red refer to Italy where the Hospital served in five campaigns of World War II, represented by the stars and participated in two assault landings, indicated by the maroon arrowheads. The wavy section of the scroll in base simulating water and the indented edge of green at the top suggesting mountains allude to the unit's wartime service starting with the amphibious landing in the Naples-Foggia Campaign and ending with the campaigns in the North Apennines and Po Valley. The scarlet scroll further refers to the streamer for the Hospital's Meritorious Unit Commendation.
The distinctive unit insignia was approved on 23 April 1970.