Abstract: The invention provides a reconfigurable patient support pallet system for transporting patients on litters. The patient support pallet system includes a pallet mounted to the floor of a vehicle. The pallet has a plurality of track rails and attachment points for attaching a litter stanchion set, capable of holding a patient in a litter, and/or for attaching a seat to the surface of the pallet. The pallet also includes a plurality of pallet lips and cargo rings on the periphery which provide locations to attach one or more pallet extensions, pallet spacers and/or pallet ramps to increase the usable surface area of a pallet, as well as and facilitate safe passage on, off and between pallets by reducing tripping hazards inherent in cargo aircraft.