A transfer mattress includes a top panel, a bottom panel, an outer stringer and an inner stringer. The top panel has a perimeter including a proximal edge and a distal edge, wherein a central longitudinal axis extends from the proximal edge to the distal edge. The bottom panel has a plurality of perforations and a perimeter including a proximal edge and a distal edge coupled to the perimeter of the top panel. The outer stringer and inner stringer each have a superior edge coupled to the top panel and an inferior edge coupled to the bottom panel and a longitudinal portion that is substantially parallel to the central longitudinal axis. The inner stringer is positioned between the central longitudinal axis and the outer stringer.