After almost a month on strike, the largest nurse strike of its kind that the city has seen in decades, two out of the three major hospital systems involved have reached a deal with its nurses.

Approximately 10,500 nurses at Montefiore, Mount Sinai Hospital and Mount Sinai Morningside and West reached tentative agreements late Sunday and early Monday, according to the New York State Nurses Association.

“For four weeks, nearly 15,000 NYSNA members held the line in the cold and in the snow for safe patient care,” NYSNA President Nancy Hagans, RN, BSN, CCRN said in a statement. “Now, nurses at Montefiore and Mount Sinai systems are heading back to the bedside with our heads held high after winning fair tentative contracts that maintain enforceable safe staffing ratios, improve protections from workplace violence, and maintain health benefits with no additional out-of-pocket costs for frontline nurses.” 

Meanwhile, a Montefiore spokesperson confirmed the tentative agreement, saying that it must now be “ratified by the nurses by Wednesday.”

The tentative 3-year agreements, according to the nurse’s union, includes: 

An increase in nurses to improve patient care and maintain enforceable safe staffing standards;

Protect the nurses’ health benefits;

Protect nurses from workplace violence;

Protect immigrant and trans patients and nurses;

Safeguard nurses against AI (a first for the nurses’ contracts);

Increase nurses’ salaries by more than 12% over the contract’s life

Nurses at Montefiore, Mount Sinai, and Mount Sinai Morningside and West will vote to ratify their contracts starting today, the union said.

If the tentative contract agreements are ratified, nurses will return to work on Saturday.

The only hospital system that has not reached a deal with its nurses is NewYork-Presbyterian.

The freezing temperatures have not affected the level of energy and commitment from 15,000 nurses on the picket lines demanding a raise, healthcare benefits, safe staffing standards and protections from workplace violence.

The nurses held bargaining sessions with three hospital systems impacted — Mount Sinai, Montefiore and NewYork-Presbyterian — since the strike began on Jan. 12.

The union says the hospitals are seeking to reduce nurses benefits but the hospitals say they’ve proposed maintaining their current employer-funded benefits, which they said exceed what most private employees receive.

The nurses’ union rejected the hospitals’ position that nurses earn an average of $163,000 dollars-per-year, but are asking for a 25% raise.

The hospitals, meanwhile, said that their medical operations are running normally despite the walkout — and although some elective surgeries were rescheduled. They have brought on thousands of temporary nurses to fill shifts and say they’ve made financial commitments to extend their employment.

New York Presbyterian said at the time it would be “unreasonable” to agree to the nurses union demands amid what they say are drastic federal cuts to Medicaid, the Affordable Care Act and overall rising costs.

The dayslong strike even brought out New York City Mayor Zohran Mamdani and U.S. Sen. Bernie Sanders to the picket line as they rallied with nurses Tuesday in Manhattan in the ninth day of the strike.

The democratic socialists, speaking to a boisterous crowd of nurses in front of Mount Sinai West on the Upper West Side, called on hospital executives to return to the negotiating table to resolve the contract impasse that prompted some 15,000 nurses to walk off the job last week.

“The people of this country are sick and tired of the greed in this health care industry,” said Sanders, the long-serving Vermont senator and a native of Brooklyn, as he rattled off the multimillion-dollar salaries of the CEOs of the three hospital systems affected by the strike.

“Now is your time of need, when we can assure that this is a city you don’t just work in, but a city you can also live in,” Mamdani added.