• Home
  • Latest
  • Fortune 500
  • Finance
  • Tech
  • Leadership
  • Lifestyle
  • Rankings
  • Multimedia

Trendingnow

1

MacKenzie Scott alone accounted for one-third of America's $19.2 billion in megagifts last year

2

Now worth $200 million, Sarah Jessica Parker credits being ‘one of eight kids that struggled financially’ for her hunger, ambition, and work ethic

3

Ray Dalio says the U.S. just had its 'Suez moment'—and history says what comes next could end an empire

1

MacKenzie Scott alone accounted for one-third of America's $19.2 billion in megagifts last year

2

Now worth $200 million, Sarah Jessica Parker credits being ‘one of eight kids that struggled financially’ for her hunger, ambition, and work ethic

3

Ray Dalio says the U.S. just had its 'Suez moment'—and history says what comes next could end an empire
LeadershipUnitedHealth Group

A painful spinal surgery upended suspect Luigi Mangione’s life prior to arrest for UnitedHealthcare shooting

Eleanor Pringle
By
Eleanor Pringle
Eleanor Pringle
Senior Reporter, Economics and Markets
Down Arrow Button Icon
Eleanor Pringle
By
Eleanor Pringle
Eleanor Pringle
Senior Reporter, Economics and Markets
Down Arrow Button Icon
December 10, 2024, 6:40 AM ET
Photo of Luigi Mangione
Luigi Mangione, 26, has been arrested in connection with the assassination of Brian Thompson.PA Department of Corrections / Handout/Anadolu - Getty Images
Add Fortune on Google for similar content.
  • Luigi Mangione, the 26-year-old arrested in connection with the assassination of UnitedHealthcare CEO Brian Thompson, suffered with prolonged chronic back pain. The condition coincided with a period in which he stopped contacting some family and friends.

“Hey, are you ok? Nobody has heard from you in months, and apparently your family is looking for you.” That post on X was reportedly sent to murder suspect Luigi Mangione on Oct. 30 by a friend whose account has since been made private. A little more than a month later, Mangione calmly walked up to UnitedHealthcare CEO Brian Thompson on the street in New York City and shot Thompson in the back, police say.

By the time of the message on X, Mangione had gone several months without contacting some members of friends and family, who had become unsure of his whereabouts. The mysterious period coincided with the aftermath of a difficult back surgery that reportedly left Mangione in constant discomfort, multiple reports have said.

It’s not clear whether the surgery, Mangione’s period of silence, and the killing of Thompson are linked; police are investigating that right now.

An impression of Mangione, a 26-year-old University of Pennsylvania graduate who earned a combined MA and BA in 2020, can be pieced together from his online presence, across both his LinkedIn profile and his X account—which was active until early June.

The banner image on the X account thought to belong to Mangione shows three pictures: the man himself shirtless on a hiking trail, a Pokémon character named Breloom, and an X-ray scan of a spine with four large pins held together at their heads.

Mangione had long suffered with a back injury, sources told media.

R.J. Martin met Mangione in 2020 when the young man was interviewing for shared accommodation for remote workers in Honolulu.

Martin founded Surfbreak, which charges around $2,000 a month for the shared quarters, and described Mangione as an accomplished and upbeat engineer.

Yet despite living in surfers’ paradise, Mangione reportedly struggled to enjoy the sport.

Martin explained, “His spine was kind of misaligned. He said his lower vertebrae were almost like a half-inch off, and I think it pinched a nerve.”

Speaking to the New York Times, Martin added the problem became worse while surfing: “For some reason, the motion—the arching, the looking up—was just the wrong thing for his back. He was in a lot of pain.”

The pain also impacted Mangione’s personal life, Martin continued: “He knew that dating and being physically intimate with his back condition wasn’t possible. I remember him telling me that, and my heart just breaks.”

That being said, Martin didn’t remember Mangione being on any type of pain medication. The engineer also enjoyed going to the gym and rock climbing, Martin added, though he would be careful of jarring his spine.

Speaking to the Honolulu Civil Beat, Martin added Mangione left Surfbreak in mid-2020 and the pair stayed in regular contact, with Mangione later texting over images of his spinal surgery. Martin said he questioned how the surgery had gone, and Mangione replied “long story” without any further details.

Then this summer Mangione went “radio silent,” Martin added. His last text to Mangione—before seeing him on the news—read, “Where in the world are you?”

Mangione’s apparent withdrawal from his friendships is at odds with the impression he left on former classmates.

A former student at Baltimore’s Gilman School, which charges $37,690 in tuition for its oldest students, Mangione is remembered by peers as friendly and athletic.

His classmate Freddie Leatherbury told the Associated Press that Mangione came from a wealthy family, even by the school’s standards.

Mangione’s LinkedIn profile lists his current workplace as TrueCar, an online car sales site, though a spokesperson for the company fold Fortune he hasn’t worked there as an engineer since 2023.

‘Thoughtful and deeply compassionate’

While living in the applications-only Hawaiian community, Mangione founded a book club alongside Martin and Jackie Wexler, a food technologist based in New York.

Wexler told the Honolulu Civil Beat that Mangione was thoughtful and facilitated conversations at the book club by listening carefully.

“He was just such a thoughtful and deeply compassionate person at everything he did,” added Wexler, who had studied at UPenn alongside Mangione but hadn’t become friends with him until they lived together in Hawaii.

Reading for the club included What’s Our Problem? by Tim Urban—described as a self-help book for society—and The Ape That Understood the Universe: How the Mind and Culture Evolve by Steve Stewart-Williams—a book that examines how mankind might be reviewed by other species.

Reading the manifesto of Ted Kaczynski—later known as the Unabomber—was first suggested as a joke, Wexler and Martin added, and ultimately led to the book club disbanding because of the material.

But Mangione seemingly read the script. In January, a Goodreads account with Mangione’s name and photo gave a four-star review to Theodore Kaczynski’s infamous anti-technology critique, Industrial Society and Its Future.

“It’s easy to quickly and thoughtless write this off as the manifesto of a lunatic, in order to avoid facing some of the uncomfortable problems it identifies,” Mangione wrote. “But it’s simply impossible to ignore how prescient many of his predictions about modern society turned out.”

Mangione’s profile has since been made private but also reportedly included a reading list about back pain.

Mangione was charged with the Dec. 4 assassination of health insurance boss Thompson after the Ivy League graduate was arrested in connection with the event yesterday, when police apprehended him in a McDonald’s in Altoona, Pa.

About the Author
Eleanor Pringle
By Eleanor PringleSenior Reporter, Economics and Markets
LinkedIn icon

Eleanor Pringle is an award-winning senior reporter at Fortune covering news, the economy, and personal finance. Eleanor previously worked as a business correspondent and news editor in regional news in the U.K. She completed her journalism training with the Press Association after earning a degree from the University of East Anglia.

See full bioRight Arrow Button Icon
Add Fortune on Google for similar content.

Latest in Leadership

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025

Most Popular

Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Finance
Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam
By Fortune Editors
October 20, 2025
Fortune Secondary Logo
Rankings
  • 100 Best Companies
  • Fortune 500
  • Global 500
  • Fortune 500 Europe
  • Most Powerful Women
  • World's Most Admired Companies
  • See All Rankings
  • Lists Calendar
Sections
  • Finance
  • Fortune Crypto
  • Features
  • Leadership
  • Health
  • Commentary
  • Success
  • Retail
  • Mpw
  • Tech
  • Lifestyle
  • CEO Initiative
  • Asia
  • Politics
  • Conferences
  • Europe
  • Newsletters
  • Personal Finance
  • Environment
  • Magazine
  • Education
Customer Support
  • Frequently Asked Questions
  • Customer Service Portal
  • Privacy Policy
  • Terms Of Use
  • Single Issues For Purchase
  • International Print
Commercial Services
  • Advertising
  • Fortune Brand Studio
  • Fortune Analytics
  • Fortune Conferences
  • Business Development
  • Group Subscriptions
About Us
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • About Us
  • Press Center
  • Work At Fortune
  • Terms And Conditions
  • Site Map
  • Facebook icon
  • Twitter icon
  • LinkedIn icon
  • Instagram icon
  • Pinterest icon

Latest in Leadership

lb
PoliticsCongress
Leon Black says Epstein’s network included Elon Musk, Sergey Brin and Peter Thiel, while saying ‘I knew Jekyll. I didn’t know Hyde’
By Joey Cappelletti and The Associated PressJune 26, 2026
15 hours ago
John Collison, president and co-founder of Stripe
SuccessJobs
Stripe cofounder says Gen Z will need two college majors to compete thanks to AI—and investing legend Charlie Munger called it first
By Emma BurleighJune 26, 2026
15 hours ago
young woman looking frustrated while working on her laptop at home
SuccessCareers
Gen Z’s hiring hell is real: 1 in 3 employers admit they’re replacing entry-level roles with AI—and tech and manufacturing jobs are most at risk
By Preston ForeJune 26, 2026
15 hours ago
Fortune 500 Power Moves: Which executives gained and lost power this week
C-SuiteFortune 500 Power Moves
Fortune 500 Power Moves: Which executives gained and lost power this week
By Fortune EditorsJune 26, 2026
17 hours ago
Marketing leaders speak at Fortune's Fuel Up event in Cannes. (L-R) Natalia Ball, Mars Pet Nutrition; Zena Arnold, Sephora; Tati Lindenberg, Unilever; Laura Jones, Instacart; Ruth Umoh, Fortune
RetailCMO
The new CMO playbook: how marketers are balancing broader remits and tighter budgets
By Sam BirchallJune 26, 2026
18 hours ago
mj
CommentarySuccession
Morgan Stanley on life after selling your business: a roadmap for entrepreneurs
By Mark JansenJune 26, 2026
19 hours ago

Most Popular

MacKenzie Scott alone accounted for one-third of America's $19.2 billion in megagifts last year
Success
MacKenzie Scott alone accounted for one-third of America's $19.2 billion in megagifts last year
By Sydney LakeJune 25, 2026
2 days ago
Now worth $200 million, Sarah Jessica Parker credits being ‘one of eight kids that struggled financially’ for her hunger, ambition, and work ethic
Success
Now worth $200 million, Sarah Jessica Parker credits being ‘one of eight kids that struggled financially’ for her hunger, ambition, and work ethic
By Orianna Rosa RoyleJune 24, 2026
3 days ago
Ray Dalio says the U.S. just had its 'Suez moment'—and history says what comes next could end an empire
Economy
Ray Dalio says the U.S. just had its 'Suez moment'—and history says what comes next could end an empire
By Nick LichtenbergJune 26, 2026
23 hours ago
The bond market knows something about the $39 trillion national debt that Washington doesn’t
Economy
The bond market knows something about the $39 trillion national debt that Washington doesn’t
By Eva RoytburgJune 25, 2026
1 day ago
Trump turns on Big Oil donors who spent nearly $100 million to get him elected—now he wants the DOJ to investigate them for price gouging
Economy
Trump turns on Big Oil donors who spent nearly $100 million to get him elected—now he wants the DOJ to investigate them for price gouging
By Tristan BoveJune 25, 2026
1 day ago
Current price of oil as of June 26, 2026
Personal Finance
Current price of oil as of June 26, 2026
By Joseph HostetlerJune 26, 2026
17 hours ago

© 2026 Fortune Media IP Limited. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use and Privacy Policy | CA Notice at Collection and Privacy Notice | Do Not Sell/Share My Personal Information
FORTUNE is a trademark of Fortune Media IP Limited, registered in the U.S. and other countries. FORTUNE may receive compensation for some links to products and services on this website. Offers may be subject to change without notice.