150421-A-BK746-064 CARIBBEAN SEA (April 21, 2015) A tender departs the Military Sealift Command hospital ship USNS Comfort (T-AH 20) for Guatemala during Continuing Promise 2015. Continuing Promise conducts civil-military operations including humanitarian-civil assistance, subject matter expert exchanges, medical, dental, veterinary, engineering support and disaster response to show U.S. support and commitment to Central and South America and the Caribbean. (U.S. Army photo by Spc. Lance Hartung/Released)