A foam core for a pressure reduction healthcare mattress is disclosed. It includes a top layer made of memory retention foam, a middle layer made of foam and having a convex shape that is higher along a longitudinal center line than along the two sides, and a lower support layer made of foam. The top layer is made of a torso piece and a softer foot/lower leg piece. The middle layer includes a heel pillow that fits into a heel pillow cavity in the foam, the heel pillow including layers of fiber material over a crown shaped foam insert. The lower support layer has a sloped portion in a lower leg section that slopes down toward a heel end of the foam core. Also disclosed is a pressure reduction healthcare mattress that includes the foam core and a cover.