A man suspected of killing UnitedHealthcare’s chief executive has been held in custody after a brief court appearance in Pennsylvania.

Police arrested Luigi Nicholas Mangione on Monday after a McDonald’s employee in Altoona alerted authorities to a customer, who was found with a gun, mask and writings linking him to the ambush.

The 26 -year-old, who was charged with weapons, forgery and other charges, will be extradited to New York to face charges in connection with Mr Thompson’s death.

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Luigi Nicholas Mangione in custody. Pic: Altoona Police Department

Brian Thompson shooting – what we know

The chance sighting at the restaurant led to a dramatic break in the fast-moving investigation.

Officer Tyler Frye, who has only been on the job for about six months, and a fellow officer responded to the McDonald’s where the suspect was spotted.

Patrolman Tyler Frye arrested the New York suspect in a McDonald's.
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Patrolman Tyler Frye arrested the New York suspect in a McDonald’s

They asked him to pull his blue medical mask down and “recognised him immediately”.

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Officer Frye said: “We didn’t even think twice about it, we knew that was our guy.

“It feels good to get a guy like that off the street, especially starting my career this way, it feels great.”

Court documents said Mangione began shaking when the officers asked if he had been in New York recently.

UnitedHealthcare chief executive officer Brian Thompson.
Pic: UnitedHealth Group/AP
Image:
UnitedHealthcare chief executive officer Brian Thompson.
Pic: UnitedHealth Group/AP

Governor Josh Shapiro said that “in some dark corners, this killer is being hailed as a hero”.

“Hear me on this, he is no hero,” the Democrat added.

“The real hero in this story is the person who called 911 at McDonald’s this morning.”

NYPD chief of detectives Joseph Kenny said Mangione was born and raised in Maryland, has ties to San Francisco and has a last known address in Honolulu.

Police found a three-page document with writings suggesting Mangione had “ill will toward corporate America”, Mr Kenny said.

Mr Thompson, 50, was killed last Wednesday as he walked alone to a hotel, where UnitedHealthcare’s parent company, UnitedHealth Group, was holding its annual investor conference.

Footage showed the attacker walking up slowly behind Mr Thompson and opening fire outside the Hilton hotel in what has been described as a “premeditated, preplanned targeted attack”.

Shell casings found at the scene where the executive was killed had “deny”, “delay”, and “depose” written on them.