20th Medical Group emblem.   The group uses the 20th Fighter Wing emblem with the group designation on the scroll.
<a href="https://en.wikipedia.org/wiki/United_States_Army_Institute_of_Heraldry" class="extiw" title="en:United States Army Institute of Heraldry">en:United States Army Institute of Heraldry</a>
2017-04-01
<a rel="nofollow" class="external free" href="https://media.defense.gov/2015/Jan/27/2001005959/-1/-1/0/150127-F-JZ567-943.JPG">https://media.defense.gov/2015/Jan/27/2001005959/-1/-1/0/150127-F-JZ567-943.JPG</a>