A patient support system includes a floor cavity in the floor of a treatment room; a patient support device comprising a treatment table; a base; a first movement mechanism on which the treatment table is mounted; a second movement mechanism mounted on the base and attached to the first movement mechanism, wherein the first and second movement mechanisms are moveable independently of each other; the first movement mechanism is configured to raise and lower the treatment table and the second movement mechanism is configured to raise and lower the first movement mechanism such that in a lowered position the second movement mechanism is contained within the floor cavity.