Hospitall bed. Head and feet can go up or flat. Bed can not go up on all four legs. Bed is good for someone who needs extra help sitting up in bed or needs legs elevated. All metal frame. Remote is new and can be easily replaced. I bought the remote on amazon. Matress is FREE and in fair condition and is about 3 inches thick and has gel pad which adds another inch. Matress always had protector on. Side rails are also adjustable or can be detached. You must pickup. I live by intersections spring creek and Olsen rd.