to another militia group? our team in israel and gaza. also tonight, the first blast of winter for millions. multiple pileups in ohio as lake-effect snow pounds the midwest and northeast. in d.c., the national christmas tree blowing over. and the deep freeze stretching into the deep south. al roker is here. a farewell for rosalynn carter. former president jimmy carter leaving hospice to attend the memorial service for his wife of 77 years, alongside president biden and every living first lady. the emotional tribute. convicted double murderer alex murdaugh speaking out in court as he is sentenced to another 27 years for financial crimes. what he said as he faced his victims. a dramatic body cam. troopers responding to a deadly bus crash involving high school students. what it shows. and after 17 day trapped in a collapsed tunnel, the joy tonight in india after all 41 workers are finally rescued. >> announcer: this is "nbc nightly news" with lester holt. >> good evening and welcome, everyone. tonight another 12 hamas-held hostages made the now familiar walk to freedom as concerns quickly drift towards what happens next. as it stands, the extended truce allowed another ten israelis, along with two thai citizens to be set free today, expires less than 24 hours from now. though a further pause in the war is possible, the threat of resumed israeli attacks on gaza looms large as negotiators seek a broader hostage deal. no americans were among those sent free today. however, at least one more group of captives is expected to be released tomorrow. but there are questions over which groups are actually holding hostages. so far all those free are women or juveniles, and there is increasing worry for those left behind. richard engel has the latest. >> reporter: the ceasefire tonight is holding. hamas releasing this edited video of another group of hostages freed. this time nearly all of them are elderly. the oldest is 84. they are ten israelis and two thai nationals. no americans. in exchange, israel will release 30 palestinian prisoners. but hamas doesn't have all of the hostages in gaza. dozens are held by other militant groups, and their families worry they're being ignored. today in tel aviv, the bibas family held a rally in support of yarden, shiri and their children, ariel and kfir, all hostages in gaza. they held orange balloons to evoke the children's hair. these are their before videos. kfir giggling as his father gives him kisses. at 10 months, he is the youngest of all the hostages. and ariel, 4 years old, driving his bulldozer. the baby and toddler have been held for seven weeks in gaza where freed hostages say they were kept in the dark, often in tunnels with barely enough food and surrounded by masked gunmen. since the bibas are not held by hamas, the israeli military handed them to another group. they've been passed over time and again. supporters today released the balloons as a symbol of the liberation they've been denied. the bibas family is beloved in israel. tv crews follow them around, respectfully, hoping they'll be on hand if they finally get word that at least the children are coming home. >> we just wanted to raise our voice and to speak for them and to say that it cannot be that this ceasefire will end without them being released. it's like a shot in the chest every time that the names are not in the list. >> and how does all of this feel, that everywhere you go, people want to talk to you. look at all these cameras around. people in israel are really rallying behind you. >> yes. >> and all of the hostage families. >> yes. it's really heartwarming, and it really does give us the family strength and hope to continue our struggle. >> reporter: no one from the bibas family was freed tonight. they'll have one more chance tomorrow. after that, unless the truce is extended, israel's war on gaza to destroy hamas resumes. >> and richard, as we said at top of the broadcast, this ceasefire is expected to end tomorrow. are there any talks under way to extend it again? >> there are very serious negotiations in qatar with the head of the cia, the head of israeli intelligence, the mossad, qatari officials. and they're trying to build on what has been accomplished so far and expand the negotiations, expand the hostage talks so they don't just include women and children, but include military-aged men and women. lester? >> richard engel tonight, thank you. the pause in the fighting has brought a temporary quiet and given gazans a brief glimpse into the scale of the devastation around them. raf sanchez reports. >> reporter: under the cover of a fragile truce, gazans are venturing on to the streets, lining up at gas stations, hoping for a few precious drops of fuel, and baking bread in traditional ovens. the ceasefire, which is due to end tomorrow offering a brief respite from seven weeks of israeli bombing in response to the october 7th attack. around 15,000 people have been killed, according to the hamas-run health ministry. that's one out of every 130 people. but today the world health organization with a stark warning. >> so eventually, we will see more people dying from disease than we are even seeing from the bombardment. >> reporter: disease spreading through camps like this. more than a million gazans now displaced by the fighting. their tents little match for the winter rain. muna al bayari fled with her daughter. she doesn't even know if her husband is still alive. "is there anything worse than this?" she asks? and even when the war ends, many will have no homes to go back to. in the city of khan yunis, an analysis of satellite imagery shows damage to around 15% of all buildings. a travel of the strip and the devastation grows. in northern gaza, where israel's bombing was most intense, half the buildings are now partly or completely destroyed. this was soldier square, a park in the heart of gaza city. today it's a landmark unrecognizable. halil and yasmin got married just a month before the war. this is what's left of the house they hoped to make a home. "we were living a happy life, but this happiness is gone, and everything with it," she says. and with the clock ticking towards the end of the ceasefire, families bracing for the war to begin again. raf sanchez, nbc news, tel aviv. and back here at home, millions are still in the grip of bitter cold and heavy snow in the eastern part of the country. jesse kirsch is in snowy western pennsylvania tonight. >> reporter: from the great lakes to the east coast, tonight millions of americans feeling winter's chill. parts of michigan, ohio, pennsylvania, and new york blanketed by lake-effect snow. in ohio, some drivers facing whiteout conditions. >> possibly ten vehicles. >> reporter: and outside cleveland, police believe treacherous conditions led to a pair of pileups involving over 20 vehicles. one crash causing serious but nonlife-threatening injuries. >> right behind us here. what was it like this time yesterday? >> bare. >> reporter: near erie, pennsylvania, more than a foot falling in edinburg, where officials are asking drivers to be cautious, especially for the season's first big storm. >> people sometimes, they don't think about slowing down because they've been driving all summer, all fall without snow. >> reporter: even with snow continuing to fall today, people now cleaning up across the region. some areas hit by nearly 2 feet of snow. >> this is a big storm to be our first storm of the year. >> reporter: in washington, d.c., the national park service says the national christmas tree fell over today during a strong wind gust. from the east coast to chicago, millions feeling temperatures 10 to 20 degrees below average tonight. and along the great lakes, this snow is expected to keep falling across parts of the region until tomorrow morning. lester? >> all right, jesse kirsch, thank you. al roker is here. al, you're tracking this early blast of winter. what should we know? >> we got another 24 hours of snow, lester, from cleveland to watertown, winter weather advisories, lake-effect snow warnings. the snow still streaming across the great lakes. we're looking at snowfall totals already. from madison, ohio, 11 inches to redfield, new york, 21.5 inches. we're going see another 5 to 6 between watertown and utica in that plateau. then we've got 8 million people under freeze warnings from baton rouge to wilmington. temperatures tonight into tomorrow morning into the upper 20s to the low 30s with windchills even colder. lester? >> al roker, thank you, sir. convicted murderer alex murdaugh was in a courtroom once again today in south carolina, where he was sentenced to 27 years for stealing millions from his clients. anne thompson has that story. >> reporter: already a convicted murderer, today alex murdaugh was sentenced as a thief. >> i trusted you with reporter: the clients he swindled out of millions of dollars telling the once prominent attorney just how he betrayed them, including murdaugh's life-long friend jordan jinks. >> the money you stole from me, you could have asked me for it and i would have a gave it to you. that's how i felt about you and your family. >> reporter: murdaugh stole more than $4 million from the sons of gloria satterfield, his housekeeper, who fell at his home and later died. >> you lied. you cheated, you stole. you betrayed me and my family. >> reporter: gloria's sister asking this. >> i just don't understand. did you not have a soul? >> reporter: murdaugh agreed to a 27-year sentence for 22 financial crimes to be served concurrently with his two life sentences without parole for the murders of his wife maggie and son paul in 2021. murders today he insisted again he didn't commit. >> and i would never hurt maggie, and i would never hurt paul. >> reporter: with handcuffs unlocked, an emotional murdaugh apologized to his victims. >> to each of you, i did terrible things. >> reporter: and his family. >> i am so sorry that i destroyed my our family's reputation. >> reporter: judge clifton newman unmoved. >> i will turn the page and will leave you behind. >> reporter: now lester, today's 27-year sentence is justice and vindication for murdaugh's many victims, but it's also an insurance policy if he successfully appeals his murder convictions. murdaugh will be in prison to at least his mid-70s now. >> okay, anne, thank you. in atlanta today, a public tribute to former first lady rosalynn carter. presidents past and present were there, including mrs. carter's husband, former president jimmy carter. here is blayne alexander. >> reporter: a fitting final farewell for a former first lady. flanked by her grandchildren, rosalynn carter's casket carried into atlanta's glen memorial church. awaiting her inside, former presidents jimmy carter, wheelchair-bound and covered with a blanket. for more than 77 years, the two were side by side. now at age 99, he made the long trip from plains, georgia to bid his wife goodbye. joining him, president and mrs. biden, vice president harris, and former president clinton, along with every living former first lady. the ceremony itself was a moving snapshot of the things mrs. carter held dear. from the music, including a tribute from the carters' close friends trisha yearwood and garth brooks. ♪ you may say i'm a dreamer ♪ >> reporter: to the speakers themselves, among them her richest legacy, her children. >> my mother was a glue that held our family together through the ups and downs and things and thins. >> reporter: and daughter amy. today holding back tears as she read a love letter from her father to her mother written 75 years ago. >> "when i see you, i fall in love with you all over again. does that seem strange to you? it doesn't to me. goodbye, darling, until tomorrow, jimmy." >> reporter: but amid the tears, moments of joy. >> her most viral moment was when they were at a baseball game, and the braves put them on the kiss cam. and just like today, people were crying at the braves game, you know. >> reporter: mrs. carter's motorcade will now head back to plains, georgia where she will be laid to rest in a private ceremony tomorrow. blayne alexander, nbc news, atlanta. in 60 seconds, tensions rising on college campuses after the shooting of three palestinian students in vermont, and the new body cam video just out. the harrowing rescue after a deadly school bus accident, right after this. - hi, i'm steve. - i'm lea. and we live in north pole, alaska. - i'm a retired school counselor. 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(♪♪) one of the nation's largest health care providers is under siege. a major cyber attack forcing hospital ers to turn away patients in multiple states. as miguel almaguer reports, it's just the latest high profile company to get hit by hackers. >> reporter: tonight, the ongoing cyber attack at ardent health services is forcing roughly a dozen of their hospitals to divert patients away from emergency rooms, impacting critical care in at least four states. ardent, a major national health care provider has now taken its network offline after cyber criminals hijacked their operating system. how dangerous can a hack be at a hospital? >> very. it's life threatening. it's as simple as that. it does cost people's lives at risk. >> reporter: still scrambling to restore its vital i.t. operations after the thanksgiving day hack, ardent health confirms a temporary disruption of operations, adding patient care continues to be delivered safely and effectively, though they cannot confirm the extent of any patient's health or official data that has been compromised. >> it's back on the wait, and that's not good. >> reporter: in tulsa, annie and eric wolf say her long scheduled open heart surgery has been delayed after doctors lost access to her medical records. >> i am, however, furious that malicious coders and attackers, hackers would specifically target a health care system and put lives in jeopardy. >> reporter: with cyber criminals demanding hefty ransoms, extorting nearly a billion dollars this year alone by one estimate, a growing number of local governments, universities, school districts and health care providers are becoming targets. but tonight, it's everyday americans who are so often the victims. miguel almaguer, nbc news. next tonight, more than 40 people trapped for weeks by a landslide. their amazing rescue. have heart failure with unresolved symptoms? it may be time to see the bigger picture. heart failure and seemingly unrelated symptoms like carpal tunnel syndrome, shortness of breath, and irregular heartbeat could mean something more serious, called attr-cm a rare, underdiagnosed disease that worsens over time. sound like you? call your cardiologist and ask about attr-cm. that grimy film on your teeth? dr. g? it's actually the buildup of plaque bacteria which can cause cavities. most toothpastes quit working in minutes. but crest pro-health's antibacterial fluoride protects all day. it stops cavities before they start. crest. salonpas, makers of powerful pain relief patches for 89 years... believes in continuous improvement... like rounded corners that resist peeling, with an array of active ingredients... and sizes to relieve your pain. salonpas. it's good medicine. 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