High quality medical bed in very good condition. The frame is metal and has hydraulics that allow it to raise and lower from the floor to waist high as well as head and foot adjustments. The mattress inflates around the edges to prevent falls and aid in rolling and the pad itself also inflates to provide extra comfort and support, and I adjustable as well. The pump at the foot has all the adjustments as well as a hand controller that does the same. It has been in storage for over a year and I just got it out cleaned it and made sure it was fully operational.