Workers Strike Hospitals in W.Va., Ky.

A van carrying replacement workers attempts to cross the picket line at the Harlan ARH early Sunday, April 1, 2007, in Harlan, Ky. Union workers at Appalachian Regional Healthcare hospitals went on strike after the healthcare system and United Steel Workers representatives failed to agree on a contract. (AP Photo/Harlan Daily Enterprise, Debbie Caldwell) (Debbie Caldwell - AP)

HARLAN, Ky. -- Union workers at Appalachian Regional Healthcare hospitals went on strike in two states amid a contract dispute already marred by one picket line scuffle.

ARH planned to keep its nine hospitals in Kentucky and West Virginia operating despite the walkout, spokeswoman Candace S. Elkins said. The company is the largest health care provider and employer in southeastern Kentucky and the third largest private employer in southern West Virginia.

Hundreds of workers, including nurses, walked off the job Sunday after their contract expired.

Outside one ARH facility in Beckley, W.Va., workers chanted "We will not give in" and held signs saying "This is not about $$$" and "Union Strong."

"We know ARH owns the wagons, but we're the horses that pull it," union official Janice Phipps told WYMT-TV in Hazard. "Without us, the wagons don't move."

In Harlan, two people were arrested Sunday at a hospital after vans carrying replacement workers made it onto hospital grounds and protesters rushed in, said State Police Lt. Phil Crumpton. One was charged with disorderly conduct and the other with reckless driving.

"ARH is extremely disappointed with the outcome of the negotiations. We have worked long and hard to present what we believe is a fair, equitable and competitive contract," ARH President and CEO Jerry W. Haynes said. "Talks are continuing, and we will continue to work with the USW (United Steelworkers union) for a fair and equitable agreement."

Local United Steelworkers President Roger McGinnis wouldn't comment on the details of the dispute but told the Harlan Daily Enterprise that items under negotiation included pensions, starting standard rates and benefits for new hires, sick time, disability and holiday pay. He said negotiations were expected to resume Wednesday.

ARH, a nonprofit health system, serves 350,000 residents of eastern Kentucky and southern West Virginia. It operates nine hospitals, 12 clinics, 8 home health agencies, 12 HomeCare Stores and 12 retail pharmacies.

The union represents about 2,400 employees of the ARH's 4,600 employees, including certified nurse aides, licensed practical nurses, and housekeeping, maintenance and clerical staff.

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On the Net:

Appalachian Regional Healthcare: http://www.arh.org/