A multiple level elevating cot adapted to be rolled into emergency vehicles, the cot having a wheeled undercarriage supporting a cot frame having a leading end and a trailing end, and adapted to selectively secure the cot frame in a plurality of elevational positions. The cot frame includes an improved drop frame having a wider range of motion to a cot construction. The cot frame is also provided with patient support features, such as positionable back, leg, and side arm supports.