Exactly as pictured. I used this as a foundation for an irregular shaped mattress and did not use the provided support beams, so I dont see any issue using this with an adjustable bed.

I did include a picture of the white fabric, because I thought it was hard to see in Wayfairs pictures. The upholstery has a cool toned off white with tan stitching. It is very neutral toned and could work with either cool or warmed toned decor.