Altoona Man Accused in UnitedHealth Executive Murder Case Plans Extradition Fight from Pennsylvania, Denied Bail

ALTOONA, Pennsylvania – The 26-year-old man accused of gunning down UnitedHealth executive Brian Thompson in Manhattan intends to fight his extradition to New York to face murder charges from Pennsylvania, where he was arrested, his defense lawyer told a judge at a hearing on Tuesday.

The suspect, Luigi Mangione, was also denied bail for the second time, a day after he was taken into custody at a fast food restaurant after a sprawling five-day manhunt.

As he entered the courthouse surrounded by officers, Mangione shouted in the direction of journalists, yelling in part, “…completely out of touch and an insult to the intelligence of the American people!” It was not clear to what he was referring.

Mangione’s refusal to waive extradition on Tuesday triggers a formal process that could last weeks, though he is unlikely to succeed in preventing his eventual transfer, according to legal experts.

Investigators were trying to retrace Mangione’s movements in Pennsylvania over the past few days, as well as whether the suspect was helped by an accomplice either before or after the brazen shooting outside a midtown hotel.

Mangione was spotted at a McDonald’s on Monday by an employee who thought he looked like the gunman in surveillance images released by police. A gun, clothing and fake identifications found in his possession all closely match those used by the shooter, police said.

He faces gun and forgery charges in Pennsylvania and was arraigned in Altoona on Monday. An arrest warrant for Mangione filed on Tuesday in Manhattan criminal court listed one count of second-degree murder, three counts of criminal possession of a weapon, and one count of criminal possession of a forged instrument.

While the gunman’s motive remains unclear, police have said Thompson, the CEO of one of the nation’s largest health insurers, was deliberately targeted.

Mangione suffered from chronic back pain that limited his daily life, according to several news accounts. His profile on X shows a background image of an x-ray with what appears to be screws and plates inserted in a lower back.

An employee at TrueCar said Mangione worked at the car buying website as a data engineer from 2022 to late 2023. In mid-2023, Mangione took about two months off for what the employee’s manager described as back-related issues.

The employee, who asked not to be named, described Mangione as “incredibly smart” and very friendly to his co-workers.