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Details emerge about suspect charged in killing of UnitedHealthcare CEO

6 min read
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Altoona Police officer Tyler Frye, center, speaks during a press conference regarding the arrest of suspect Luigi Mangione, Monday, Dec. 9, 2024, in Hollidaysburg, Pa., in the fatal shooting of UnitedHealthcare CEO Brian Thompson.
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This photo provided by Pennsylvania State Police shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, at the police station in Altoona, Pa., on Monday. (Pennsylvania State Police via AP)
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New York Police officers arrive at Altoona Police Department, where a man with a gun thought to be similar to the one used in the killing of UnitedHealthcare CEO Brian Thompson has been taken into police custody for questioning, Monday, Dec. 9, 2024, in Altoona, Pa.
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A poster issued by the Federal Bureau of Investigation shows a wanted unknown suspect. (FBI via AP)

ALTOONA (AP) 鈥 The suspect in the killing of UnitedHealthcare鈥檚 CEO struggled with deputies and shouted Tuesday while arriving for a court appearance in Pennsylvania, a day after he was arrested at a McDonald鈥檚 and charged with murder.

Luigi Nicholas Mangione emerged from a patrol car, spun toward reporters and shouted something partly unintelligible referring to an 鈥渋nsult to the intelligence of the American people鈥 while deputies pushed him inside.

Prosecutors were beginning to take steps to bring Mangione back to New York to face a murder charge while new details emerged about his life and how he was captured. The 26-year-old Ivy League graduate from a prominent Maryland real estate family was charged with murder hours after he was arrested in the Manhattan killing of Brian Thompson, who led the United States鈥 largest medical insurance company.

At the brief hearing, defense lawyer Thomas Dickey informed the court that Mangione will not waive extradition to New York but instead wants a hearing on the issue. Mangione was denied bail after prosecutors raised concerns about public safety and a potential flight risk.

Mangione, wearing an orange prison jumpsuit, mostly stared straight ahead at the hearing, occasionally consulting papers, rocking in his chair or looking back at the gallery. At one point, he began to speak to respond to the court discussion but was quieted by his lawyer.

Mangione likely was motivated by his anger with what he called 鈥減arasitic鈥 health insurance companies and a disdain for corporate greed, a law enforcement bulletin obtained by The Associated Press said.

He wrote that the U.S. has the most expensive health care system in the world and that profits of major corporations continue to rise while 鈥渙ur life expectancy鈥 does not, according to the bulletin, based on a review of his hand-written notes and social media posts.

Mangione called 鈥淯nabomber鈥 Ted Kaczynski a 鈥減olitical revolutionary鈥 and may have found inspiration from the man who carried out a series of bombings while railing against modern society and technology, according to police bulletin.

Mangione remained jailed in Pennsylvania, where he was initially charged with possession of an unlicensed firearm, forgery and providing false identification to police. Manhattan prosecutors have obtained an arrest warrant, a step that could help expedite his extradition from Pennsylvania.

Mangione was arrested in Altoona, Pennsylvania 鈥 about 230 miles (about 370 kilometers) west of New York City 鈥 after a McDonald鈥檚 customer recognized him and notified an employee, authorities said.

Officers found him sitting at a back table, wearing a blue medical mask and looking at a laptop, according to a Pennsylvania police criminal complaint.

He initially gave them a fake ID, but when an officer asked Mangione whether he鈥檇 been to New York recently, he 鈥渂ecame quiet and started to shake,鈥 the complaint says.

When he pulled his mask down at officers鈥 request, 鈥渨e knew that was our guy,鈥 rookie Officer Tyler Frye said.

Images of Mangione released Tuesday by Pennsylvania State Police showed him pulling down his mask in the corner of the McDonald鈥檚 while holding what appeared to be hash browns and wearing a winter jacket and beanie. In another photo from a holding cell, he stood unsmiling with rumpled hair.

New York Police Commissioner Jessica Tisch said Mangione was carrying a gun like the one used to kill Thompson and the same fake ID the shooter had used to check into a New York hostel, along with a passport and other fraudulent IDs.

NYPD Chief of Detectives Joseph Kenny said Mangione also had a three-page, handwritten document that shows 鈥渟ome ill will toward corporate America.鈥

A law enforcement official who wasn鈥檛 authorized to discuss the investigation publicly and spoke with The Associated Press on condition of anonymity said the document included a line in which Mangione claimed to have acted alone.

鈥淭o the Feds, I鈥檒l keep this short, because I do respect what you do for our country. To save you a lengthy investigation, I state plainly that I wasn鈥檛 working with anyone,鈥 the document said, according to the official.

It also had a line that said, 鈥淚 do apologize for any strife or traumas but it had to be done. Frankly, these parasites simply had it coming.鈥

Pennsylvania prosecutor Peter Weeks said in court that Mangione was found with a passport and $10,000 in cash, $2,000 of it in foreign currency. Mangione disputed the amount.

Thompson, 50, was killed Wednesday as he walked alone to a Manhattan hotel for an investor conference. Police quickly came to see the shooting as a targeted attack by a gunman who appeared to wait for Thompson, came up behind him and fired a 9 mm pistol.

Investigators have said 鈥渄elay,鈥 鈥渄eny鈥 and 鈥渄epose鈥 were written on ammunition found near Thompson鈥檚 body. The words mimic 鈥渄elay, deny, defend,鈥 a phrase used to criticize the insurance industry.

From surveillance video, New York investigators determined the shooter quickly fled the city, likely by bus.

A grandson of a wealthy, self-made real estate developer and philanthropist, Mangione is a cousin of a current Maryland state legislator.

Valedictorian at his elite Baltimore prep school, he went on to earn undergraduate and graduate degrees in computer science in 2020 from the University of Pennsylvania, a spokesperson said.

鈥淥ur family is shocked and devastated by Luigi鈥檚 arrest,鈥 Mangione鈥檚 family said in a statement posted on social media late Monday by his cousin, Maryland Del. Nino Mangione. 鈥淲e offer our prayers to the family of Brian Thompson and we ask people to pray for all involved.鈥

From January to June 2022, Luigi Mangione lived at Surfbreak, a 鈥渃o-living鈥 space at the edge of touristy Waikiki in Honolulu.

Like other residents of the shared penthouse catering to remote workers, Mangione underwent a background check, said Josiah Ryan, a spokesperson for owner and founder R.J. Martin.

鈥淟uigi was just widely considered to be a great guy. There were no complaints,鈥 Ryan said. 鈥淭here was no sign that might point to these alleged crimes they鈥檙e saying he committed.鈥

At Surfbreak, Martin learned Mangione had severe back pain from childhood that interfered with many aspects of his life, from surfing to romance, Ryan said.

Mangione left Surfbreak to get surgery on the mainland, Ryan said, then later returned to Honolulu and rented an apartment.

Martin stopped hearing from Mangione six months to a year ago.

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