Abstract: A wheelchair has a reclined configuration and an upright configuration. In the upright configuration, the seat of the wheelchair is at least substantially perpendicular to a back support and located at a first elevation. An actuator is useful to lift the seat during the movement to the reclined configuration to a second elevation higher than the first elevation. Outriggers move to load bearing position in the reclined configuration to assist in supporting weight on the back support. An installed litter is useful in assisting patient movement to and from the wheelchair.