It appears a strike at ARH hospitals will continue through next week at least.
Union officials say negotiations have broken off for now after the second day of meetings between Appalachian Regional Healthcare and the United Steel workers.
ARH officials say they presented a complete proposal to union officials that included wage increases, enhanced healthcare and pension benefits.
Union officials say they were hopeful a new contract could be worked out Wednesday, but say they were continually presented with progressively worse proposals.
ARH officials declined an on camera interview Thursday.
Union officials say they are still hopeful a fair contract can be worked out, but say no further negotiation sessions have been set between the two sides.