A 26-year-old man has been officially charged with the můrder of UnitedHealthcare CEO Brian Thompson in New York City.
The suspect, Luigi Mangione was taken into custody at a McDonald's in the town of Altoona, Pennsylvania, about 280 miles (450km) west of New York City on Monday, December 10, after a customer at the fast-food outlet recognised him.
An Ivy League graduate from a prominent Maryland family, he was found in possession of a gun and a handwritten document that indicated "motivation and mindset", according to police.
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Mr Mangione then appeared in a Pennsylvania court to be arraigned on five initial counts and was denied bail.
Just hours later, New York investigators charged Mr Mangione with murder and four other counts including firearms charges.
Mr Thompson, 50, was fatally shot in the back last Wednesday morning outside the Hilton hotel in Midtown Manhattan where UnitedHealthcare, the medical insurance giant he led, was holding an investors' meeting.
Police say he was targeted in a pre-planned k!lling.
Mr Mangione is in jail in Pennsylvania, where he was formally charged with possession of an unlicensed firearm, forgery, and providing false identification to police.
He was handcuffed at the wrists and ankles when he appeared in court there earlier on Monday.
Last week's shooting triggered a huge manhunt, with New York City investigators using one of the world's largest digital surveillance systems as well as police dogs, drones, and divers in a Central Park lake to search for the attacker.
Investigators revealed that finding Mr Mangione was a complete surprise, as they did not have his name on a list of suspects before Monday.
It was ultimately a McDonald's customer in Altoona that recognised the suspect from media coverage and alerted an employee, who then tipped off the police.
When police arrived, Mr. Mangione showed them a fake New Jersey driver's licence with the name Mark Rosario, said court papers.
He "became quiet and started to shake" when an officer asked if he had been to New York recently, the criminal complaint adds.
When he was told he would be arrested if he lied about his name, he gave his real name, according to the court papers.
Asked why he lied, he told officers that "I clearly shouldn't have".
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A search of his backpack uncovered what police called a "ghost gun" - which could have been 3D-printed and a loaded magazine with six rounds of 9mm ammunition.
Prosecutors said he was also carrying a US passport and $10,000 cash, $2,000 of it in foreign currency, though Mr Mangione disputed the amount in court.
A three-page handwritten document found in his possession suggested he harboured "ill will towards corporate America", said officials.
Investigators say the words "deny", "defend" and "depose" were written on shell casings found at the scene of Mr. Thompson's murder.
Officials believe this could be a reference to what critics call the "three Ds of insurance" tactics used by insurance companies to reject payment claims by patients in America's complicated healthcare system.
Earlier in the day, New York Police Commissioner Jessica Tisch said the weapon and suppressor seized by investigators from the suspect were "both consistent with the weapon used in the murder" of Mr Thompson.
Mr Mangione is now expected to be presented with the option of waiving his extradition to the state of New York, or contesting it.
Mr Mangione's family said they were "shocked and devastated" by his arrest.
"We offer our prayers to the family of Brian Thompson and we ask people to pray for all involved," said their statement, which was posted on social media late on Monday by the defendant's cousin, Maryland state legislator Nino Mangione.
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