Abstract: A rotatably adjustable patient support apparatus including a lower base assembly for mounting to a pedestal and an upper base assembly for mounting to a patient couch. The upper and lower base assemblies are connected by three spaced apart connectors, each of which includes two parts joined by a ball joint swivel bearing to enable pivoting of the connector parts about each of two horizontally disposed axes where the axes are perpendicular to one another. One of the connectors is stationary and the other two are mounted to move longitudinally along the base assemblies on guide rails. The guide rails of the upper base assembly are mounted to ramps such that predetermined movement of the two movable connectors cause the upper base assembly to pitch or roll, or to pitch and roll simultaneously. Movement of the two movable connectors is by acme screw and nut sets.