A gold color metal and enamel device 1 3/16 inches (3.02cm) in height overall consisting of a light blue enamel sky above a maroon mountain silhouette and blue water in base with a scarlet and gold hibiscus bloom at center slightly overlapping the base of the mountain, all enclosed at the sides by two gold palm trees curving inward their branches supporting a white Greek cross at top center.
Maroon and white are the colors used for the Army Medical Department. The Greek cross is symbolic of the medical care provided by the staff and facilities of the Hospital and further refers to the Southern Cross, a familiar sight in the Hawaiian sky. The hibiscus is the state flower of Hawaii (the organization's home state), and the representation of "Diamond Head" and the palms denote the tropical island home of the Hospital, Oahu. The water, symbolic of life's origin and sustenance, refers to the Pacific, and the light blue to the sky.
The distinctive unit insignia was originally approved on 27 Jul 1971. It was amended on 22 Sep 1971 to change the shade of blue used for the water in the description of the design.