Shearless pivot for bed

A patient support apparatus, such as a bed, stretcher, or the like, includes a support deck with a head section pivotable between a generally flat orientation and a raised orientation. As the head section pivots from the flat orientation to an intermediate orientation, the pivot axis of the head section remains generally stationary. As the head section pivots from the intermediate orientation to the raised orientation, the pivot axis of the head section moves. The support deck may include an intermediate section attached to the head section wherein a foot end of the intermediate section moves linearly in a horizontal plane as the head section pivots from the intermediate orientation toward the raised orientation.