A gold color metal and enamel device 1 3/16 inches (3.02 cm) in height consisting of a blue disc and on its center a gold disc with eight narrow gold rays ending at the edge of the blue disc between eight wide white rays extending slightly outside the blue disc the gold disc surmounted by a maroon cross itself charged at center with a gold fleur-de-lis; below the disc on a curving green scroll folded twice at either side and with forked ends, the words "LIFE AND HOPE" in gold letters.
Maroon and white are the colors used for the Army Medical Department. The fleur-de-lis denotes the Hospital's service in Europe during World War II. The basic mission of the Hospital, to provide medical care for the sick and wounded, is represented by the maroon cross. The sun, symbolic of life and health, is adapted from the New York State Seal and the blue disc of the background and green of the scroll refer to the many lakes and forests of the region. The colors blue and green are further symbolic of life, health and hope.
The distinctive unit insignia was originally approved for the 376th Evacuation Hospital on 24 June 1971. It was redesignated for the 376th Combat Support Hospital on 3 January 1975.