On a rectangle divided per cross maroon and white and arced at top and bottom with a 1/8 inch (.32 cm) yellow border, 3 inches (7.62 cm) in height and 2 inches (5.08 cm) in width overall, a cross divided per cross counterchanged.
Maroon and white are the colors associated with the Medical Corps. Yellow/gold expresses honor and high achievement. The division of the insignia into four parts underscores "4," the numerical designation of the organization. The four divisions also allude to the main or cardinal directions on the compass and highlight the global scope of the unit's mission. The cross represents medical care. The counterchanged colors emphasize the integration of the Brigade medical mission with the Total Army.
The shoulder sleeve insignia was approved on 20 December 1989. (TIOH Dwg. No. A-1-773)