Deputy Secretary of Defense Ash Carter, center, stands with U.S. Army Col. Kyle D. Campbell, left, the commander of Brooke Army Medical Center in San Antonio, and Command Sgt. Maj. Mark Pumphrey, the hospital's command sergeant major, during an awards ceremony at the facility Oct. 29, 2013. During the event, Carter presented Purple Hearts to five U.S. service members. (DOD photo by Glenn Fawcett/Released)