Luigi Mangione, charged in shooting of UnitedHealthcare CEO, is in turmoil on his way to extradition hearing

ALTOONA, Pa. –Luigi Mangione, the suspect in last week’s murder of United Healthcare CEO Brian Thompson in New York Cityfaced an extradition hearing on murder charges Tuesday afternoon.

Mangione was denied bail and contested extradition to New York. Pennsylvania now has 30 days to obtain an extradition order from Governor Kathy Hochul. Mangione was remanded to Huntingdon State Prison in Huntingdon County.

Just before he enters the courthouse, Mangione was seen on video pulling away from members of the Blair County Sheriff’s Department and shouting, “This is completely unjust and an insult to the American people!” before being pushed against a wall and forced inside. It is unclear what he was responding to.

Authorities say the extradition process to New York could now take days, if not weeks. Investigators are sifting through what they call a mountain of evidence, trying to fill in the gaps of his journey and determine whether he acted alone.

The 26-year-old was arrested five days after the shooting A customer saw him at a McDonald’s in Altoonaabout 300 miles away from the shooting in Midtown Manhattan.

“He had a mask and hood and a backpack.”

That’s what a witness named Larry said he and his friends saw Mangione sitting alone.

“He had a mask, a hood and a backpack,” said Larry, a regular at the fast-food restaurant. “One guy said, ‘It looks like the New York shooter.’ Well then we laughed and I think he placed his order and we went about our business but we were joking, wouldn’t that be something?

Another customer recognized Mangione from the searched photos and told an employee, who called police. Officers responded and began asking Mangione if he had been to New York City recently.

“He got visibly nervous and shook a little bit at that question, but he didn’t really answer it directly,” Altoona Police Department Deputy Chief Derick Swope told reporters Monday.

When asked for his ID, police said he provided a counterfeit New Jersey driver’s license, which investigators believe was the same as the one used to check into a Manhattan hostel ten days before the shooting.

According to court documents, officers asked why he would lie to them about the ID.

“I obviously shouldn’t have done that,” Mangione said.

“We didn’t think twice about it, we knew it was our guy,” Altoona Police Officer Tyler Frye said.

Police arrested Mangione on forgery charges, and once in custody they searched his backpack, where they found a U.S. passport, clothing matching the shooter’s description, a 3D printed pistol with a suppressor that matched the murder weapon, and a three-page handwritten note.

Police sources say investigators are referring to the note as a claim of responsibility. NYPD intelligence officers believe the suspect’s grievances with UnitedHealthcare and other health insurers motivated the killing.

“We don’t think there are any specific threats to others mentioned in that document, but it does appear that he harbors ill will toward corporate America,” said Joseph Kenny, chief of detectives for the NYPD.

The McDonald’s has since hired private security because employees told police they were concerned about their safetyand Altoona police themselves have received multiple emails and phone calls, including death threats, since Monday’s arrest.

Charting Mangione’s time on the run

Police also said Mangione had several electronic devices with him, which they believe he used to evade detection.

“He was being very careful, trying to keep a low profile and avoid cameras,” said Lt. Col. George Bivens of the Pennsylvania State Police.

Investigators said that was the most crucial clue in the investigation a photo of the hostel where the suspect took off his mask.

The NYPD has been working around the clock to track his movements – from his arrival by bus to New York City, to his escape from the crime scene by bicycle to Central Parkand are taxi ride to an uptown bus terminalwhere they think he fled.

Police believe he left New York City and traveled through Pennsylvania in the following days. They believe he took a Greyhound bus to Philadelphia and spent some time there before heading to Pittsburgh and eventually Altoona.

“If you have any information about this suspect or his travels through Pennsylvania, please share these tips with us immediately,” Pennsylvania Governor Josh Shapiro said.

Who is Luigi Mangione?

CBS News has learned that Mangione is from a prominent Maryland family which owns country clubs, health care facilities and real estate companies. He graduating valedictorian of an all-boys private high schoolreceived his Masters in Engineering from the University of Pennsylvaniaand also has ties to Stanford.

A former classmate and childhood friend told CBS News that he was kind and smart and had no enemies during his school days.

The Mangione family released a statement overnight saying they are shocked and shocked by the news.

“Unfortunately, we cannot comment on news reports regarding Luigi Mangione. We only know what we have read in the media. Our family is shocked and devastated by Luigi’s arrest,” the statement said. “We offer our prayers to the family of Brian Thompson and ask people to pray for everyone involved. We are devastated by this news.”

Mangione last worked as a data engineer at a vehicle buying website called True Car in 2023, according to his LinkedIn account. In recent months, posts tagging him on social media suggested he had lost touch with friends, with some asking where he was and what he was doing, wishing him well and hoping he was doing well.

CBS News has also learned that Mangione lived in a co-working, co-living space called Surfbreak in Honolulu until 2022, when a spokesperson for that community says he left because of a lifelong back injury that was aggravated by surfing and hiking.

Sources tell CBS News back pain was a major factor in his life and seemed to be a source of pain and frustration for him.

“I was roommates with him, friends. Hiked, went to yoga. He tried his best to be athletic,” said RJ Martin, a former Surfbreak acquaintance. ‘Unfathomable, knowing what kind of person I saw and knew.’ Personally, I don’t understand it. There is never a justification for violence.”

The spokesperson said they believe he returned to Hawaii in 2023 and started a book club, from which they said several members left due to “discomfort choosing books.”