Crime and Courts

Back pain, writings and more: Details emerge about suspect in UnitedHealthcare CEO killing

Officials were reviewing documents and social media posts from Mangione that said the U.S. has the most expensive healthcare system in the world and that the profits of major corporations continue to rise while “our life expectancy” does not

New details are emerging about Luigi Mangione, the 26-year-old man charged with murder in the killing of Brian Thompson, UnitedHealthcare's CEO, and while little new information has come out about possible motivation, writings found in Mangione’s possession hinted at a vague hatred of corporate greed.

In his first public words since he was arrested at a McDonald’s in Pennsylvania after a five-day search, Mangione, an Ivy League graduate from a prominent Maryland real estate family, emerged from a patrol car shouting about an “insult to the intelligence of the American people” while deputies pushed him inside a courthouse.

What Mangione's writings said

A law enforcement bulletin obtained by The Associated Press said that at the time of his arrest, Mangione was carrying a handwritten document expressing anger with what he called “parasitic” health insurance companies and a disdain for corporate greed and power.

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 “our life expectancy” does not, according to the 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 were beginning to take steps to bring Mangione to New York, but at a brief hearing Tuesday, defense lawyer Thomas Dickey said his client will not waive extradition and instead wants a hearing on the issue. Mangione was denied bail after prosecutors said he was too dangerous to be released.

He mostly stared straight ahead at the hearing, occasionally looking at papers, rocking in his chair or looking back at the gallery.

“You can’t rush to judgment in this case or any case,” Dickey said afterward. “He’s presumed innocent. Let’s not forget that.”

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

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

A law enforcement official who wasn’t authorized to discuss the investigation publicly and spoke with The Associated Press on condition of anonymity said a three-page, handwritten document found with Mangione included a line in which he claimed to have acted alone.

“To the Feds, I’ll 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’t working with anyone,” the document said, according to the official.

According to the official, Mangione wrote that the U.S. has the most expensive healthcare system in the world and that the profits of major corporations continue to rise while “our life expectancy” does not, according to the bulletin, based on a review of the suspect’s handwritten notes and social media posts.

He appeared to view the targeted killing of the UnitedHealthcare CEO as a symbolic takedown, asserting in his note that he is the “first to face it with such brutal honesty,” the official said.

The suspect called “Unabomber” Ted Kaczynski a “political revolutionary” and may have found inspiration from the man who carried out a series of bombings while railing against modern society and technology, the document said.

Thompson, 50, was killed Dec. 4 as he walked alone to a Manhattan hotel for a UnitedHealthcare investor conference. From surveillance video, New York investigators determined the shooter quickly fled the city, likely by bus.

Mangione's family and upbringing

The suspect comes from a prominent Maryland family. His grandfather, Nick Mangione, who died in 2008, was a successful real estate developer. One of his best-known projects was Turf Valley Resort, a sprawling luxury retreat and conference center outside Baltimore that he purchased in 1978.

The family also purchased Hayfields Country Club north of Baltimore in 1986. On Monday, Baltimore County police officers blocked off an entrance to the property, which public records link to the suspect's parents. Reporters and photographers gathered outside the entrance.

The father of 10 children, Nick Mangione prepared his five sons — including Luigi Mangione’s father, Louis Mangione — to help manage the family business, according to a 2003 Washington Post report. Nick Mangione had 37 grandchildren, including Luigi, according to the grandfather's obituary.

The suspect's grandparents donated to charities through the Mangione Family Foundation, according to a statement from Loyola University commemorating Nick Mangione’s wife’s death in 2023. They donated to various causes, including Catholic organizations, colleges and the arts.

One of the suspect’s cousins is Republican Maryland state legislator Nino Mangione, a spokesman for the lawmaker’s office confirmed.

“Our family is shocked and devastated by Luigi’s arrest,” the suspect's family said in a statement posted on social media by Nino Mangione. “We offer our prayers to the family of Brian Thompson and we ask people to pray for all involved.”

Mangione's education and work history

Mangione, who was valedictorian of his elite Maryland prep school, earned undergraduate and graduate degrees in computer science in 2020 from the University of Pennsylvania, a university spokesman told The Associated Press.

He learned to code in high school and helped start a club at Penn for people interested in gaming and game design, according to a 2018 story in Penn Today, a campus publication.

His social media posts suggest he belonged to the fraternity Phi Kappa Psi. They also show him taking part in a 2019 program at Stanford University, and in photos with family and friends at the Jersey Shore and in Hawaii, San Diego, Puerto Rico, and other destinations.

The Gilman School, from which he graduated in 2016, is one of Baltimore’s elite prep schools. The children of some of the city’s wealthiest and most prominent residents, including Orioles legend Cal Ripken Jr., have attended the school. Its alumni include sportswriter Frank Deford and former Arizona Gov. Fife Symington.

In his valedictory speech, the suspect described his classmates’ “incredible courage to explore the unknown and try new things.”

He took a software programming internship after high school at Maryland-based video game studio Firaxis, where he fixed bugs on the hit strategy game Civilization 6, according to a LinkedIn profile. Firaxis' parent company, Take-Two Interactive, said it would not comment on former employees.

He more recently worked at the car-buying website TrueCar, but has not worked there since 2023, the head of the Santa Monica, California-based company confirmed to the AP.

Time in Hawaii and reports of back pain

From January to June 2022, the suspect lived at Surfbreak, a “co-living” space at the edge of touristy Waikiki in Honolulu.

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

“Luigi was just widely considered to be a great guy. There were no complaints,” Ryan said. “There was no sign that might point to these alleged crimes they’re saying he committed.”

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

“He went surfing with R.J. once but it didn’t work out because of his back,” Ryan said, but noted that the suspect and Martin often went together to a rock-climbing gym.

The suspect left Surfbreak to get surgery on the mainland, Ryan said, then later returned to Honolulu and rented an apartment. An image posted to a social media account linked to the suspect showed what appeared to be an X-ray of a metal rod and multiple screws inserted into someone's lower spine.

Martin stopped hearing from the suspect six months to a year ago.

An X account linked to the suspect includes recent posts about the negative impact of smartphones on children; healthy eating and exercise habits; psychological theories; and a quote from Indian philosopher Jiddu Krishnamurti about the dangers of becoming “well-adjusted to a profoundly sick society.”

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