A bed frame includes a weight bearing framework 30, and a footboard 82 that cooperates with the framework to define an edge 90 of an occupant region 92 of the bed. The footboard 82 includes a footboard frame 100 and a pressurizable cushion 104. A mattress system 160 includes a main occupant support portion 162 with a support surface 168 and a cushion 170 located footwardly of the occupant support portion. The cushion has a deployed state in which it projects vertically higher than the support surface and a stored state in which it does not project vertically higher than the support surface.