A gold color metal and enamel device 1 1/4 inches (3.18 cm) in height overall consisting of a square white cushion placed diagonally, having curved sides edged with gold cord and a gold tassel at each corner and on the cushion a red saltire with a red heart over it, that part of the saltire crossing the heart in white; encircling the cushion a maroon scroll bearing in gold letters the words "WE SERVE" on the left and "THE REST" on the right of the lower tassel.
The colors white and maroon are for the Medical Department. The white cushion symbolizes hospital care and rest and the gold cord and tassels denote the quality of service and care provided. The Hospital's location in Alabama is indicated b the scarlet saltire adapted from the state's flag, and the heart, a symbol of strength and vitality also alludes to Alabama's sobriquet "The Heart of Dixie."
The distinctive unit insignia was approved on 7 November 1968.