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(NEW YORK) — The largest nurses’ strike in New York City history began Monday morning after the nurses’ union and hospitals officials failed to reach a tentative settlement.

Nearly 15,000 nurses at Mount Sinai, Mount Sinai Morningside and West, Montefiore and NewYork-Presbyterian walked of the job, according to the New York State Nursing Association (NYSNA), the union representing the nurses.

“Unfortunately, greedy hospital executives have decided to put profits above safe patient care and force nurses out on strike when we would rather be at the bedsides of our patients,” Nancy Hagans, NYSNA’s president, said in a statement early Monday. “Hospital management refuses to address our most important issues — patient and nurse safety.”

Strike lines began at 6 a.m. ET on Monday at Mount Sinai, with 7 a.m. ET lines forming at Montefiore Bronx locations and NewYork-Presbyterian locations, according to NYSNA.

“Unfortunately, NYSNA decided to move forward with its strike while refusing to move on from its extreme economic demands, which we cannot agree to, but we are ready with 1,400 qualified and specialized nurses — and prepared to continue to provide safe patient care for as long as this strike lasts,” a Mount Sinai spokesperson said in a statement.

Mount Sinai said many of the nurses had already been integrated into units across their hospitals. The health system added that all hospitals and emergency departments will remain open, and most appointments are expected to proceed as originally scheduled.

In a letter to employees, Mount Sinai said its Clinical Command Center was helping hospitals determine which patients can be safely discharged, as well transferring patients between hospitals and rescheduling appointments, an employee with knowledge of the matter told ABC News.

The letter also stated that officials had discussed with the NYSNA the financial pressures facing health care and that Mount Sinai has a fixed budget that could be used for pay increases and benefits or to operate amidst a strike, according to the employee.

The NYSNA said it is calling for an agreement that includes pay hikes, improving safe staffing levels, full health care coverage and pensions, and workplace protections against violence. The union further said hospitals have threatened to cut health care benefits for frontline nurses and to roll back safe staffing standards that were won by nurses in a strike two years ago.

New York Gov. Kathy Hochul declared a state of emergency Friday in anticipation of a possible strike and appealed to the hospitals and nurses’ union to hammer out a last-minute deal, saying that a strike “could jeopardize the lives of thousands of New Yorkers and patients.”

“I’m strongly encouraging everyone to stay at the table, both sides, management and the nurses, until this is resolved,” Hochul said.

Several New York politicians, including Mayor Zohran Mamdani, have come out in support of the striking nurses. Mamdani on Monday called their fight a battle for dignity, fairness and the future of the city’s health care system and who benefits from it.

“There is no shortage of wealth in the health care industry,” Mamdani said. “The CEO of Montefiore made more than $16 million last year. The CEO of NewYork-Presbyterian made $26 million. But too many nurses can’t make ends meet.”

Mamdani also said nurses are not asking for millions, but for “pensions to be safeguarded, to be protected in their own workplace, and to receive the pay and health benefits they deserve.”

The mayor said the city is working to protect both patients and health care workers during the strike. He urged hospital executives and union leaders to return to the bargaining table immediately.

New York State Attorney General Letitia James also released a statement in support of the nurses, saying they often have to choose between patient well-being and their own well-being.

“As our state faces a historic flu surge, our communities are counting on New York’s hospitals for high-quality, reliable frontline care,” Jame said.Meanwhile, hospital management is threatening nurses’ health benefits, rolling back hard-won staffing protections, and doing too little to address workplace violence. I am proud to stand with New York’s nurses in calling on hospitals throughout this city to put patients over profits and ensure safe workplaces for our frontline health care workers.” 

Hospital officials said they are prepared to continue offering care despite any pending work interruptions. They added that patients should not avoid or delay seeking help for any medical emergencies.

The NYSNA said during an video conference update Sunday morning that there was been no movement in the labor talks with the five hospitals.

The nurses’ contract, reached in 2023 after a three-day strike, expired on Dec. 31.

“We continue to bargain in good faith in the hopes of reaching an agreement that is fair, reasonable, and responsible,” a spokesperson for the Mount Sinai Healthcare system said in a statement on Saturday. “While we know a strike can be disruptive, we are prepared for a strike that could last an indefinite amount of time and have taken every step to best support our patients and employees in the event NYSNA forces our nurses to walk away from the bedside for the second time in three years.”

“NYSNA leadership’s reckless and irresponsible demands totaling $3.6 billion, including a nearly 40% wage increase, and taking issue with our reasonable measures like rolling out panic buttons for frontline staff in the Emergency Department, clearly put patients at risk,” Joe Solmonese, senior vice president of strategic communications for Montefiore Einstein hospital, said in a statement.

“We are preparing for what we anticipate could be a multi-week strike, and are resolute in devoting whatever resources are necessary to safe and seamless care for our community,” the statement continued.

The impasse between the NYSNA and management of the private New York City hospitals continued even as the union announced tentative settlements last week that diverted strikes at four so-called safety-net hospitals in the New York City area.

Nurses at three major Northwell Health hospitals on New York’s Long Island reached a tentative contract agreement on Thursday and called off a strike, according to the NYSNA. Nurses at Brooklyn Hospital Center and Wyckoff Heights Medical Center, and those who work for the BronxCare Health System, also rescinded strike notices when they reached a tentative contract, the NYSNA said.

“That leaves New York City’s wealthiest hospitals as the outliers who have refused to settle fair contracts that protect patients and nurses,” the NYSNA’s Hagans said in a video statement on Saturday.

“Instead of guaranteeing health care for nurses, these wealthy hospitals are pushing to cut health care benefits for nurses who put their own health on the line to care for New Yorkers during this historic flu surge, the COVID-19 pandemic and everyday injuries and hospital violence,” Hagans added.

Hagans pointed to a police-involved shooting last week at a Brooklyn hospital as the latest example of the violence hospital workers face.

On Thursday, a 62-year-old former NYPD officer, allegedly wielding a sharp object, was fatally shot by New York City police officers at New York-Presbyterian Brooklyn Methodist Hospital. The man, according to police, was shot after he allegedly barricaded himself in a room with an adult patient and a hospital security worker and threatened to hurt himself and others.

The NYSNA on Monday said those who need health care should still be able to get it.

“We want to be absolutely clear: If you are sick, please do not delay getting medical care, regardless of whether we are on strike,” the union said. “We invite you to come join us on the strike line after you’ve gotten the care you need. We are out here so we can provide better patient care to you!”

ABC News’ Rhiannon Ally, Ahmad Hemingway and Darren Reynolds contributed to this report.

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(PHOENIX, Ariz.) — The man who was detained and released after being questioned in connection with the abduction of Today show anchor Savannah Guthrie’s mother, Nancy Guthrie, says it was “terrifying.”

The man, who said he works in Tucson and delivers packages for a living, said he was detained in a traffic stop in Rio Rico, according to ABC Phoenix affiliate station KNXV, which spoke to him after his encounter with law enforcement. 

The Pima County Sheriff’s Department said on Tuesday they had detained a “subject” in connection with the investigation. 

When asked about what happened, the man who spoke with KNXV said it was a “terrifying” experience and that authorities “didn’t tell me anything at the beginning.”

When asked if he delivered a package to Nancy Guthrie’s home, the man said, “I don’t know. Might have been a possibility. I don’t know.”

“I was detained the whole time,” he told KNXV. “I was being questioned, but they only asked me for my first name, my last name, my date of birth and my social.”

The man whom officials detained had been on the radar of the FBI and Pima County Sheriff’s Department regarding Nancy Guthrie’s disappearance prior to the public release on Tuesday of the images of a masked subject at Nancy Guthrie’s front door, law enforcement sources told ABC News.

The individual, who identified himself as Carlos, was detained for questioning in Rio Rico after the FBI identified him using a series of electronic investigative tools, including cellphone usage information and traffic data, the sources said, without specifying the exact techniques. 

A local judge from Santa Cruz County, Arizona, signed the warrant for the search of the man’s house, which was carried out overnight. He was questioned for several hours before being released without charge and is under no law enforcement restrictions, according to the sources.

Separately, investigators are studying every pixel of the new video the FBI released publicly on Tuesday to try to find any identifying feature, including the apparent weapon and characteristics of what the subject was wearing, according to the sources.

“In high-profile cases, these type of leads are typical,” retired FBI agent Brad Garrett told Good Morning America Wednesday. “It may happen again because it’s the type of tips you get. But having said that, it’s the type of tips that will resolve this case.”

Investigators also descended upon a home where a court-authorized search was conducted and a woman claiming to be the homeowner says someone called in a tip reporting Nancy Guthrie was there.

“You can go in and search my house. There’s nobody there. I have nothing to hide,” the woman told KNXV. “There’s nobody in my house and I don’t know what’s going on.”

She told reporters her son-in-law was the person detained by police but insisted he had nothing to do with Nancy Guthrie’s disappearance.

The developments followed the first images released of a masked man approaching Nancy Guthrie’s front door and as investigators continued to search in her neighborhood.

The images showed someone wearing a mask, gloves, a backpack and armed with a holstered handgun at the front door of Nancy Guthrie’s Tucson-area home around the time investigators suspect she was abducted on Feb. 1.

Savannah Guthrie later posted the images to her Instagram account, with the message, “We believe she is still alive. Bring her home.”

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(AFFTON, Mo.) — A 5-year-old girl is missing after she was left unattended in a running vehicle that was then stolen, authorities in Missouri said Monday.

An Amber Alert has been issued for Aleise Dawson, who was taken around 8 a.m. local time in Affton, Missouri, according to the St. Louis County Police Department.

“The vehicle has been recovered, but the child has not,” the St. Louis County Police Department said.

The child started living with a guardian, who is believed to be a relative, within the past few weeks, according to St. Louis County Police Department spokesperson Vera Clay.

The guardian had placed the child in the car, gone inside a residence to get something and “came back out and the car was gone,” Clay said during a press briefing on Monday.

Officers responded to search for Aleise, and the vehicle was located several blocks away, according to Clay.

It is unclear if the person who took the vehicle is known to the child and guardian, or if this was “completely random,” Clay said. Police are treating it as an abduction, she said.

“There’s a 5-year-old out there and no one knows where she is. So we are going to utilize every resource that we have available to our department,” including helicopter air support, Clay said.

The police department said it does not have a photograph of the child, whom they described as a Black girl standing 2 feet 6 inches tall and weighing 60 pounds. She has four ponytails and was last seen wearing a pink T-shirt with the words “Flower Power” on it and blue shorts, police said.

Anyone with information is urged to call 636-529-8210 or 911.

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