Gun found on suspect in killing of UnitedHealthcare CEO matches shell casings at scene, police say

Mangione, 26, was charged with murder in last week's shooting of Brian Thompson, who led the United States' largest medical insurance company. Mangione remained jailed without bail Wednesday in Pennsylvania, where he was arrested and initially charged with gun and forgery offenses. Manhattan prosecutors were working to bring him to New York.

Authorities have said that writings found in his possession hinted at a hatred of corporate greed.

They've recovered a spiral notebook that Mangione kept, along with a three-page, handwritten letter found when he was arrested Monday in Pennsylvania, a law enforcement official said Wednesday. Police have not disclosed what was in the notebook.

The letter teased the possibility that clues to the attack — "some straggling notes and To Do lists that illuminate the gist of it" — could be found in the notebook, the law enforcement official said. The official wasn't authorized to disclose information about the investigation and spoke to The Associated Press on condition of anonymity.

The New York Police Department's top detective, Joseph Kenny, told CBS New York on Tuesday that the motive might have been related to an accident that sent Mangione to an emergency room on July 4, 2023.

A law enforcement bulletin obtained by the AP earlier this week said the letter disdained corporate greed and what Mangione called "parasitic" health insurance companies. The prep school and Ivy League graduate wrote that the U.S. has the most expensive health care system in the world and that major corporations' profits continue to rise while life expectancy doesn't, according to the bulletin.

In his first public words since his arrest, Mangione shouted about an "insult to the intelligence of the American people" on his way into court Tuesday.

At a brief hearing, defense lawyer Thomas Dickey said that he didn't believe there was evidence to support a forgery charge and questioned whether the gun allegation amounts to a crime. Dickey also said Mangione would contest his extradition to New York and wanted a hearing on the issue.

"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, 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 the gun 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.

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

His movements afterward are unclear, but authorities believe he took steps to stay off the radar. Prosecutors said at his Pennsylvania hearing this week that when arrested, he had what are known as Faraday bags for his cellphone and laptop that prevent such devices from transmitting signals authorities can use to track them.

Mangione, a grandson of a well-known Maryland real estate developer and philanthropist, had a graduate degree in computer science and worked for a time at a car-buying website. During the first half of 2022, he bunked at a co-living space in Hawaii, where those who knew him said he suffered from severe and sometimes debilitating back pain.

His relatives have said in a statement that they are was "shocked and devastated" at his arrest.