USNS Fall River (JHSV-4/T-EPF-4) is the fourth Spearhead-class expeditionary fast transport, which is operated by the United States Navy's Military Sealift Command (MSC).

[2] It will have a flight deck for helicopter operations and a loading ramp that will allow vehicles to quickly drive on and off the ship.

Because the ship will be operated by the Military Sealift Command and not the United States Navy itself, it will carry the USNS prefix instead of USS.

[4][5][6] The ship was christened on 11 January 2014 by First Lady of Massachusetts, Diane Bemus Patrick, at Austal USA's Shipyard in Mobile, Alabama.

Following delivery and Final Contract Trials (FCT) later in the year,[9] Fall River was accepted into MSC service on 15 September 2014.