The largest nurses strike in New York City history ended this weekend when the last holdouts in the 41-day labor action overwhelmingly voted to ratify a contract and agreed to return to work, officials said.
Around 4,200 members of the New York State Nurses Association (NYSNA) employed by the private New York-Presbyterian system approved on Saturday a contract that includes more than a 12% increase in salaries over the life of the three-year deal.
The nurses and management of the New York-Presbyterian system also agreed to improve enforceable safe staffing standards, boost protection for nurses from workplace violence and, for the first time ever, provide safeguards for employees against artificial intelligence.
Anadolu via Getty Images – PHOTO: New York City nurses flood Times Square, February 6, 2026, to demand safe staffing levels, enhanced protection against workplace violence, and fair wages to keep up with inflation.
The union previously said the hospitals had threatened to cut health care benefits for frontline nurses and roll back safe staffing standards that were won by nurses after a three-day strike in January 2023.
The labor agreement was approved after about 10,500 NYSNA nurses employed by the private Montefiore, Mount Sinai Hospital and Mount Sinai Morningside and West hospitals approved a similar contract last week. Some nurses in the system began returning to work on Saturday, officials said.
About 93% of the NYSNA nurses in the New York-Presbyterian system voted to ratify the contract, and about 7% rejected the deal, which was announced on Thursday, according to the union.
Nearly 15,000 nurses in total walked off their jobs on Jan. 12 after declaring a stalemate in negotiations with management for the private hospital systems, making it the largest nurses’ strike in New York City history.
“This is a proud moment for our union,” NYSNA President Nancy Hagans said in a statement. “We are so happy with the wins we achieved, and now the fight to enforce these contracts and hold our employers accountable begins.”
Michael M. Santiago/Getty Images – PHOTO: Nurses from New York-Presbyterian/Columbia University Irving Medical Center strike outside the hospital, January 12, 2026, in New York City.
Hagans added, “NYSNA nurses showed what it means to advocate for patients, and this moment will go down in history as a win for our communities, in the fight for healthcare justice, and for the labor movement.”
In a statement Saturday evening, management of NewYork-Presbyterian confirmed the contract had been ratified by the last group of striking nurses.
“We are pleased to share that we have a new ratified contract with the New York State Nurses Association (NYSNA) and look forward to our nurses’ return to the hospital,” management of the New York-Presbyterian system said. “The new contract reflects our respect for our nurses and the critical role they play as part of our exceptional care teams.”
New York Gov. Kathy Hochul also expressed relief that the strike was finally over.
“Nurses are the backbone of our health care system. I am grateful that NYSNA has overwhelmingly ratified an agreement with New York Presbyterian recognizing the exceptionally difficult work our nurses do day in and out,” Hochul said in a statement.
The governor added, “Throughout this process, I have made clear that my top priority is protecting patients and providing continuity of care. With these agreements now ratified and nurses going back to work, I am confident we can continue to build on the progress made under this administration.”
ABC News’ Alexandra Fine and Jessica Gorman contributed to this report.
