Luigi Mangione, the man accused of killing the CEO of UnitedHealthcare, was charged in New York with murder as an act of terrorism, prosecutors announced Tuesday.
Mangione, 26, is being held without bail in Pennsylvania, where he was arrested at a McDonald’s on Dec. 9 after a broad search following the Dec. 4 ambush of Brian Thompson in midtown Manhattan.
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Blair County, Pa., District Attorney Peter Weeks, center, speaks during a press conference regarding the arrest of suspect Luigi Mangione, Monday, Dec. 9, 2024, in Hollidaysburg, Pa., in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (AP Photo/Ted Shaffrey)
Altoona, Pa., Deputy Police Chief Derek Swope, center, speaks during a press conference regarding the arrest of suspect Luigi Mangione, Monday, Dec. 9, 2024, in Hollidaysburg, Pa., in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (AP Photo/Ted Shaffrey)
This image from video provided by Office of the New York Mayor shows New York City Police Commissioner Jessica Tisch, with New York Mayor Eric Adams, right, in the Staten Island borough of New York, Wednesday, Dec. 11, 2024, as she says the gun found on the suspect in the killing of United Healthcare's CEO matched shell casings found at the site of the shooting, and the suspect's fingerprints also matched a water bottle and a snack bar wrapper that police found near the scene in midtown Manhattan. (Office of the New York Mayor via AP)
This booking photo provided by Pennsylvania Department of Corrections on Tuesday, Dec. 10, 2024, shows shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (Pennsylvania Department of Corrections via AP)
Luigi Nicholas Mangione is escorted into Blair County Courthouse, Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (AP Photo/Gary M. Baranec)
Luigi Nicholas Mangione is escorted into Blair County Courthouse, Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (AP Photo/Gary M. Baranec)
Luigi Nicholas Mangione is escorted into Blair County Courthouse, Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (AP Photo/Gary M. Baranec)
This booking photo provided by Pennsylvania Department of Corrections on Tuesday, Dec. 10, 2024, shows shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (Pennsylvania Department of Corrections via AP)
Suspect Luigi Mangione is taken into the Blair County Courthouse on Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (Benjamin B. Braun/Pittsburgh Post-Gazette via AP)
Suspect Luigi Mangione is taken into the Blair County Courthouse on Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (Benjamin B. Braun/Pittsburgh Post-Gazette via AP)
Suspect Luigi Mangione is taken into the Blair County Courthouse on Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (Benjamin B. Braun/Pittsburgh Post-Gazette via AP)
Suspect Luigi Mangione is taken into the Blair County Courthouse on Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (Benjamin B. Braun/Pittsburgh Post-Gazette via AP)
Blair County, Pa., District Attorney Peter Weeks, center, speaks during a press conference regarding the arrest of suspect Luigi Mangione, Monday, Dec. 9, 2024, in Hollidaysburg, Pa., in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (AP Photo/Ted Shaffrey)
Altoona, Pa., Deputy Police Chief Derek Swope, center, speaks during a press conference regarding the arrest of suspect Luigi Mangione, Monday, Dec. 9, 2024, in Hollidaysburg, Pa., in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (AP Photo/Ted Shaffrey)
This combo image release by Pennsylvania State Police shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, at a McDonald's in Altoona, Pa., Monday, Dec. 9, 2024. (Pennsylvania State Police via AP)
This photo, provided by the Hawaii Dept. of Land and Natural Resources, shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, receiving a citation for failing to observe a posted closed-area sign, in Honolulu, Sunday, Nov. 12, 2023. (Hawaii Dept. of Land and Natural Resources via AP)
This booking photo released Monday, Dec. 9, 2024, by the Pennsylvania Department of Corrections shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (Pennsylvania Department of Corrections via AP)
This photo provided by Pennsylvania State Police shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, at the police station in Altoona, Pa., on Monday, Dec. 9, 2024. (Pennsylvania State Police via AP)
This photo provided by Pennsylvania State Police shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, at the police station in Altoona, Pa., on Monday, Dec. 9, 2024. (Pennsylvania State Police via AP)
This image release by Pennsylvania State Police shows a video image of Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, at a McDonald's in Altoona, Pa., Monday, Dec. 9, 2024. (Pennsylvania State Police via AP)
This image taken from video provided by WJAC shows law enforcement officers escorting Luigi Mangione, handcuffed, into a courthouse building in Hollidaysburg, Pa., Monday, Dec. 9, 2024. (WJAC/Pennsylvania Department of Corrections via AP)
This image release by Pennsylvania State Police shows a video image of Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, at a McDonald's in Altoona, Pa., Monday, Dec. 9, 2024. (Pennsylvania State Police via AP)
This booking photo released Monday, Dec. 9, 2024, by the Pennsylvania Department of Corrections shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (Pennsylvania Department of Corrections via AP)
This booking photo released Monday, Dec. 9, 2024, by the Pennsylvania Department of Corrections shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (Pennsylvania Department of Corrections via AP)
New York Police officers arrive at Altoona Police Department, where a man with a gun thought to be similar to the one used in the killing of UnitedHealthcare CEO Brian Thompson has been taken into police custody for questioning, Monday, Dec. 9, 2024, in Altoona, Pa. (AP Photo/Gene J. Puskar)
In this photo taken from video, New York Police chief of detectives Joseph Kenny answers questions during a news conference, Monday, Dec. 9, 2024, in New York. (New York City Mayor's Office via AP)
An NYPD police officer and K-9 dog search around a lake in Central Park, Monday, Dec. 9, 2024, in New York. (AP Photo/Yuki Iwamura)
People watch the NYPD officers in diving suits search the lake in the Central Park, Monday, Dec. 9, 2024, in New York. (AP Photo/Yuki Iwamura)
NYPD officers in diving suits search a lake in Central Park, Monday, Dec. 9, 2024, in New York. (AP Photo/Yuki Iwamura)
New York Police Deputy Commissioner Kaz Daughtry arrives at Altoona Police Department, where a man with a gun thought to be similar to the one used in the killing of UnitedHealthcare CEO Brian Thompson has been taken into police custody for questioning, Monday, Dec. 9, 2024, in Altoona, Pa. (AP Photo/Gene J. Puskar)
NYPD officers in diving suits search a lake in Central Park, Monday, Dec. 9, 2024, in New York. (AP Photo/Yuki Iwamura)
In this photo taken from video, New York Police chief of detectives Joseph Kenny answers questions during a news conference, Monday, Dec. 9, 2024, in New York. (New York City Mayor's Office via AP)
Members of the New York police crime scene unit photograph bullets lying on the sidewalk as they investigate the scene outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot, Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
Members of the New York police crime scene unit investigate bullets lying on the sidewalk at the scene outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot, Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
Traffic rolls past the George Washington Bridge Bus Station in New York, Friday, Dec. 6, 2024, near where the gunman fleeing Wednesday's shooting of UnitedHealthcare CEO Brian Thompson took a taxi to, according to surveillance video. (AP Photo/Richard Drew)
A New York City Police officer walks through brush and foliage in Central Park near 64th Street and Central Park West, Friday, Dec. 6, 2024, in New York, while searching for a backpack police believe was dropped in the park by the person suspected of killing UnitedHealthcare CEO Brian Thompson on Wednesday, Dec. 4, 2024. (AP Photo/Ted Shaffrey)
This image provided by the New York City Police Department shows a man wanted for questioning in connection to the investigation of the killing of UnitedHealthcare CEO Brian Thompson outside a Manhattan hotel, Wednesday, Dec. 4, 2024. (New York City Police Department via AP)
New York police investigators walk along 54th Street outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot, Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
A New York police officer stands outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot, Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
A reward poster hangs on a light pole outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot ,Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
This image provided by the New York City Police Department shows a man wanted for questioning in connection to the investigation of the killing of UnitedHealthcare CEO Brian Thompson outside a Manhattan hotel, Wednesday, Dec. 4, 2024. (New York City Police Department via AP)
A woman crosses Amsterdam Avenue outside the HI New York City hostel, Thursday, Dec. 5, 2024, in New York, where police say the suspect in the killing of UnitedHealthcare CEO Brian Thompson may have stayed.(AP Photo/Yuki Iwamura)
A New York police officer stands outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot, Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
Bullets lie on the sidewalk at the scene outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot, Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
Flags fly at half mast in front of UnitedHealthcare headquarters in Minnetonka, Minn., Wednesday Dec. 4, 2024, after its CEO Brian Thompson was shot and killed in New York City. (Jerry Holt/Star Tribune via AP)
New York City Police Commissioner Jessica Tisch, accompanied by Chief of Detectives Joseph Kenny, speaks during a news conference at police headquarters, Wednesday Dec. 4, 2024, concerning the shooting death of UnitedHealthcare CEO Brian Thompson outside a New York hotel. (AP Photo/Ted Shaffrey)
This combination of images provided by the New York City Police Department shows the suspect sought in the the killing of UnitedHealthcare CEO Brian Thompson outside a Manhattan hotel where the health insurer was holding an investor conference, Wednesday, Dec. 4, 2024. (New York City Police Department via AP)
This image provided by the New York City Police Department shows the suspect sought in the the killing of UnitedHealthcare CEO Brian Thompson outside a Manhattan hotel where the health insurer was holding an investor conference, Wednesday, Dec. 4, 2024. (New York City Police Department via AP)
This undated photo provided by UnitedHealth Group shows UnitedHealthcare chief executive officer Brian Thompson. (AP Photo/UnitedHealth Group via AP)
Members of the New York police crime scene unit pick up cups marking the spots where bullets lie as they investigate the scene outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
As Mangione was led into Pennsylvania court last week to face gun and forgery charges, he struggled with deputies and shouted about an “insult to the intelligence of the American people.”
At the time, his lawyer said he would fight extradition to New York. But Manhattan prosecutors said Tuesday there were indications that he may waive his right to an extradition hearing, hastening the transfer process.
Mangione’s New York lawyer, Karen Friedman Agnifilo, declined to comment.
The case has captured the American imagination, setting off a cascade of resentment and online vitriol toward U.S. health insurers while rattling corporate executives concerned about security.
The indictment announced by Manhattan prosecutors Tuesday builds on previous charges against Mangione. He now faces 11 counts, including murder in the second degree as a crime of terrorism.
At a press conference, Manhattan District Attorney Alvin Bragg said the suspect had carried out a “frightening, well-planned, targeted murder.”
“In its most basic terms, this was a killing that was intended to evoke terror,” Bragg said. “And we’ve seen that reaction.”
In the wake of the killing, police officials in New York and elsewhere have described an increase in threats aimed at corporate leaders, including “Wanted” posters in Manhattan that showed the faces of other executives next to a crossed-out photograph of Thompson’s face.
“We don’t celebrate murderers, and we don’t lionize the killing of anyone,” New York Police Commissioner Jessica Tisch said Tuesday. “Any attempt to rationalize this is vile, reckless and offensive to our deeply held principles of justice.”
New York police also confirmed that during the search for the suspect, investigators had spoken to Mangione’s mother in San Francisco after receiving a tip from San Francisco police that a surveillance image of the shooter appeared to match a missing person’s report filed by his family in November.
Mangione’s mother “didn’t indicate that it was her son in the photograph, but she said it might be something that she could see him doing,” according to NYPD Chief of Detectives Joseph Kenny.
Police have said Mangione was arrested carrying a gun like the one used to kill Thompson and the same fake ID the shooter had used to check into a New York hostel, along with a passport and other fraudulent IDs.
Mangione possessed a handwritten document expressing anger with what it called “parasitic” health insurance companies and expressing disdain for corporate greed and power, according to a law enforcement bulletin obtained by The Associated Press.
The 3D-printed ghost gun found on Mangione matched shell casings at the shooting scene, according to authorities. Two of those casings had the words “DENY” and “DEPOSE” written on them, while a bullet was emblazoned with the word “DELAY,” prosecutors said, echoing a phrase commonly used to describe insurer tactics to avoid paying claims.
Mangione’s fingerprints also matched prints on a water bottle and a protein bar wrapper found near the crime scene, police said.
Mangione comes from a prominent Maryland family. He was the valedictorian of his elite Baltimore prep school and earned undergraduate and graduate degrees in computer science in 2020 from the University of Pennsylvania.
From January to June 2022, Mangione lived at Surfbreak, a “co-living” space at the edge of touristy Waikiki in Honolulu. Josiah Ryan, a spokesperson for owner and founder R.J. Martin, said that Martin learned that Mangione had severe back pain from childhood that interfered with many aspects of his life.
Police have suggested the suspect's motive might have been related to an accident that sent Mangione to an emergency room on July 4, 2023.
Mangione repeatedly posted on social media about how spinal surgery last year had eased his chronic back pain, and he encouraged people with similar conditions to speak up for themselves if they were told they just had to live with it.
In a Reddit post in April, he advised someone with a back problem to seek additional opinions from surgeons and, if necessary, say the pain made it impossible to work.
“We live in a capitalist society,” Mangione wrote. “I’ve found that the medical industry responds to these key words far more urgently than you describing unbearable pain and how it’s impacting your quality of life.”
He was never a UnitedHealthcare client, according to the insurer.
Mangione apparently cut himself off from his family and close friends in recent months.
Associated Press reporters Michael R. Sisak, Jamie Stengle, Lea Skene and Jake Offenhartz contributed to this report.
This image from video provided by Office of the New York Mayor shows New York City Police Commissioner Jessica Tisch, with New York Mayor Eric Adams, right, in the Staten Island borough of New York, Wednesday, Dec. 11, 2024, as she says the gun found on the suspect in the killing of United Healthcare's CEO matched shell casings found at the site of the shooting, and the suspect's fingerprints also matched a water bottle and a snack bar wrapper that police found near the scene in midtown Manhattan. (Office of the New York Mayor via AP)
This booking photo provided by Pennsylvania Department of Corrections on Tuesday, Dec. 10, 2024, shows shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (Pennsylvania Department of Corrections via AP)
Luigi Nicholas Mangione is escorted into Blair County Courthouse, Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (AP Photo/Gary M. Baranec)
Luigi Nicholas Mangione is escorted into Blair County Courthouse, Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (AP Photo/Gary M. Baranec)
Luigi Nicholas Mangione is escorted into Blair County Courthouse, Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (AP Photo/Gary M. Baranec)
This booking photo provided by Pennsylvania Department of Corrections on Tuesday, Dec. 10, 2024, shows shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (Pennsylvania Department of Corrections via AP)
Suspect Luigi Mangione is taken into the Blair County Courthouse on Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (Benjamin B. Braun/Pittsburgh Post-Gazette via AP)
Suspect Luigi Mangione is taken into the Blair County Courthouse on Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (Benjamin B. Braun/Pittsburgh Post-Gazette via AP)
Suspect Luigi Mangione is taken into the Blair County Courthouse on Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (Benjamin B. Braun/Pittsburgh Post-Gazette via AP)
Suspect Luigi Mangione is taken into the Blair County Courthouse on Tuesday, Dec. 10, 2024, in Hollidaysburg, Pa. (Benjamin B. Braun/Pittsburgh Post-Gazette via AP)
Blair County, Pa., District Attorney Peter Weeks, center, speaks during a press conference regarding the arrest of suspect Luigi Mangione, Monday, Dec. 9, 2024, in Hollidaysburg, Pa., in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (AP Photo/Ted Shaffrey)
Altoona, Pa., Deputy Police Chief Derek Swope, center, speaks during a press conference regarding the arrest of suspect Luigi Mangione, Monday, Dec. 9, 2024, in Hollidaysburg, Pa., in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (AP Photo/Ted Shaffrey)
This combo image release by Pennsylvania State Police shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, at a McDonald's in Altoona, Pa., Monday, Dec. 9, 2024. (Pennsylvania State Police via AP)
This photo, provided by the Hawaii Dept. of Land and Natural Resources, shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, receiving a citation for failing to observe a posted closed-area sign, in Honolulu, Sunday, Nov. 12, 2023. (Hawaii Dept. of Land and Natural Resources via AP)
This booking photo released Monday, Dec. 9, 2024, by the Pennsylvania Department of Corrections shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (Pennsylvania Department of Corrections via AP)
This photo provided by Pennsylvania State Police shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, at the police station in Altoona, Pa., on Monday, Dec. 9, 2024. (Pennsylvania State Police via AP)
This photo provided by Pennsylvania State Police shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, at the police station in Altoona, Pa., on Monday, Dec. 9, 2024. (Pennsylvania State Police via AP)
This image release by Pennsylvania State Police shows a video image of Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, at a McDonald's in Altoona, Pa., Monday, Dec. 9, 2024. (Pennsylvania State Police via AP)
This image taken from video provided by WJAC shows law enforcement officers escorting Luigi Mangione, handcuffed, into a courthouse building in Hollidaysburg, Pa., Monday, Dec. 9, 2024. (WJAC/Pennsylvania Department of Corrections via AP)
This image release by Pennsylvania State Police shows a video image of Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson, at a McDonald's in Altoona, Pa., Monday, Dec. 9, 2024. (Pennsylvania State Police via AP)
This booking photo released Monday, Dec. 9, 2024, by the Pennsylvania Department of Corrections shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (Pennsylvania Department of Corrections via AP)
This booking photo released Monday, Dec. 9, 2024, by the Pennsylvania Department of Corrections shows Luigi Mangione, a suspect in the fatal shooting of UnitedHealthcare CEO Brian Thompson. (Pennsylvania Department of Corrections via AP)
New York Police officers arrive at Altoona Police Department, where a man with a gun thought to be similar to the one used in the killing of UnitedHealthcare CEO Brian Thompson has been taken into police custody for questioning, Monday, Dec. 9, 2024, in Altoona, Pa. (AP Photo/Gene J. Puskar)
In this photo taken from video, New York Police chief of detectives Joseph Kenny answers questions during a news conference, Monday, Dec. 9, 2024, in New York. (New York City Mayor's Office via AP)
An NYPD police officer and K-9 dog search around a lake in Central Park, Monday, Dec. 9, 2024, in New York. (AP Photo/Yuki Iwamura)
People watch the NYPD officers in diving suits search the lake in the Central Park, Monday, Dec. 9, 2024, in New York. (AP Photo/Yuki Iwamura)
NYPD officers in diving suits search a lake in Central Park, Monday, Dec. 9, 2024, in New York. (AP Photo/Yuki Iwamura)
New York Police Deputy Commissioner Kaz Daughtry arrives at Altoona Police Department, where a man with a gun thought to be similar to the one used in the killing of UnitedHealthcare CEO Brian Thompson has been taken into police custody for questioning, Monday, Dec. 9, 2024, in Altoona, Pa. (AP Photo/Gene J. Puskar)
NYPD officers in diving suits search a lake in Central Park, Monday, Dec. 9, 2024, in New York. (AP Photo/Yuki Iwamura)
In this photo taken from video, New York Police chief of detectives Joseph Kenny answers questions during a news conference, Monday, Dec. 9, 2024, in New York. (New York City Mayor's Office via AP)
Members of the New York police crime scene unit photograph bullets lying on the sidewalk as they investigate the scene outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot, Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
Members of the New York police crime scene unit investigate bullets lying on the sidewalk at the scene outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot, Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
Traffic rolls past the George Washington Bridge Bus Station in New York, Friday, Dec. 6, 2024, near where the gunman fleeing Wednesday's shooting of UnitedHealthcare CEO Brian Thompson took a taxi to, according to surveillance video. (AP Photo/Richard Drew)
A New York City Police officer walks through brush and foliage in Central Park near 64th Street and Central Park West, Friday, Dec. 6, 2024, in New York, while searching for a backpack police believe was dropped in the park by the person suspected of killing UnitedHealthcare CEO Brian Thompson on Wednesday, Dec. 4, 2024. (AP Photo/Ted Shaffrey)
This image provided by the New York City Police Department shows a man wanted for questioning in connection to the investigation of the killing of UnitedHealthcare CEO Brian Thompson outside a Manhattan hotel, Wednesday, Dec. 4, 2024. (New York City Police Department via AP)
New York police investigators walk along 54th Street outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot, Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
A New York police officer stands outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot, Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
A reward poster hangs on a light pole outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot ,Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
This image provided by the New York City Police Department shows a man wanted for questioning in connection to the investigation of the killing of UnitedHealthcare CEO Brian Thompson outside a Manhattan hotel, Wednesday, Dec. 4, 2024. (New York City Police Department via AP)
A woman crosses Amsterdam Avenue outside the HI New York City hostel, Thursday, Dec. 5, 2024, in New York, where police say the suspect in the killing of UnitedHealthcare CEO Brian Thompson may have stayed.(AP Photo/Yuki Iwamura)
A New York police officer stands outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot, Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
Bullets lie on the sidewalk at the scene outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot, Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
Flags fly at half mast in front of UnitedHealthcare headquarters in Minnetonka, Minn., Wednesday Dec. 4, 2024, after its CEO Brian Thompson was shot and killed in New York City. (Jerry Holt/Star Tribune via AP)
New York City Police Commissioner Jessica Tisch, accompanied by Chief of Detectives Joseph Kenny, speaks during a news conference at police headquarters, Wednesday Dec. 4, 2024, concerning the shooting death of UnitedHealthcare CEO Brian Thompson outside a New York hotel. (AP Photo/Ted Shaffrey)
This combination of images provided by the New York City Police Department shows the suspect sought in the the killing of UnitedHealthcare CEO Brian Thompson outside a Manhattan hotel where the health insurer was holding an investor conference, Wednesday, Dec. 4, 2024. (New York City Police Department via AP)
This image provided by the New York City Police Department shows the suspect sought in the the killing of UnitedHealthcare CEO Brian Thompson outside a Manhattan hotel where the health insurer was holding an investor conference, Wednesday, Dec. 4, 2024. (New York City Police Department via AP)
This undated photo provided by UnitedHealth Group shows UnitedHealthcare chief executive officer Brian Thompson. (AP Photo/UnitedHealth Group via AP)
Members of the New York police crime scene unit pick up cups marking the spots where bullets lie as they investigate the scene outside the Hilton Hotel in midtown Manhattan where Brian Thompson, the CEO of UnitedHealthcare, was fatally shot Wednesday, Dec. 4, 2024, in New York. (AP Photo/Stefan Jeremiah)
MELBOURNE, Australia (AP) — It's not often that a man is able to follow up his first Grand Slam title by repeating as the champion at the same tournament a year later, which is what Jannik Sinner will be trying to do Sunday when he faces Alexander Zverev in the Australian Open final.
The last time it happened was nearly 20 years ago: Rafael Nadal accomplished that sort of repeat at the 2005 and 2006 French Opens. He turned out OK.
For the No. 1-ranked Sinner, the past year also included the doping case that is still unresolved. He tested positive for a trace amount of an anabolic steroid twice in March, which didn't become public until his exoneration was announced shortly before the start of play at the U.S. Open — which he won. There is a hearing in the World Anti-Doping Agency's appeal scheduled in April.
“He finds playing tennis matches to be his safe place. That’s where he can go and do his thing and feel like this is what he knows, this is what he understands, what is what he’s good at. It become a home for him to step on to the court and play tennis,” said one of Sinner's two coaches, Darren Cahill, who will leave the team after this season.
“There's been a lot of pressure around him for the last nine months now, since April last year. He deals with it as well as anybody that I’ve ever seen deal with pressure," Cahill said. "He’s an amazing young man that’s been able to put that to one side. ... He has a clear conscience.”
Over these two weeks in Australia, Sinner also dealt with health issues. He got medical attention when he felt dizzy and had an upset stomach during his fourth-round victory against No. 13 Holger Rune, then cramping late in his semifinal win over No. 21 Ben Shelton.
“There's a lot of things going on, on and off the court. I try to isolate myself a little bit, trying to be myself on the court. Sometimes it’s a bit easier. There are days where it’s easier, days where I struggle a little bit more,” said Sinner, a 23-year-old from Italy who can become the youngest man to win consecutive championships at the Australian Open since Jim Courier in 1992-93.
“I'm just happy to put myself in this position again,” Sinner said, “to play for a big trophy again.”
Standing in his way is No. 2 Zverev, a 27-year-old from Germany who is 0-2 in previous major finals, losing both in five sets — to Dominic Thiem at the 2020 U.S. Open after taking the first two sets and holding a match point, and to Carlos Alcaraz at last year's French Open after leading by two sets to one. Zverev won his semifinal in Paris last June hours after an out-of-court settlement was announced in Berlin that ended a trial stemming from an ex-girlfriend’s accusation of assault during a 2020 argument.
Zverev got his spot in the Australian Open final — play is scheduled to start at 7:30 p.m. local time (3:30 a.m. EST) on Sunday — when 24-time major champion Novak Djokovic stopped playing because of a leg injury just one set into their semifinal on Friday.
This will be the first title match at Rod Laver Arena between the men seeded 1 and 2 since No. 1 Djokovic defeated No. 2 Nadal in 2019.
“Jannik has been the best player in the world for the past 12 months,” Zverev said. “There’s no doubt about it.”
That is not really up for debate.
Sinner went 73-6 in 2024 with eight titles, the most on the ATP Tour since 2016, and is currently on a 20-match winning streak that began late last season.
He is listed as a -275 money-line favorite against Zverev, according to BetMGM Sportsbook.
But don't expect Sinner to proclaim that status or be willing to talk about himself in glowing terms.
“Back of my head, I also know that I’m 23 years old, and I am not perfect, no? I know that I have things still to improve. I have certain areas where I can get better. That’s why we work,” Sinner said. “Every day is a big challenge. Every day you have a different opponent. You try to understand what’s happening. Sometimes you have some issues and then trying to understand that whatever works best for that day and trying to go for it.”
Alexander Zverev of Germany plays a forehand return to Novak Djokovic of Serbia during their semifinal match at the Australian Open tennis championship in Melbourne, Australia, Friday, Jan. 24, 2025. (AP Photo/Ng Han Guan)
Jannik Sinner of Italy plays a backhand return to Ben Shelton of the U.S. during their semifinal match at the Australian Open tennis championship in Melbourne, Australia, Friday, Jan. 24, 2025. (AP Photo/Ng Han Guan)
Alexander Zverev of Germany serves to Novak Djokovic of Serbia during their semifinal match at the Australian Open tennis championship in Melbourne, Australia, Friday, Jan. 24, 2025. (AP Photo/Ng Han Guan)
Jannik Sinner of Italy receives medical treatment during his semifinal match against Ben Shelton of the U.S. at the Australian Open tennis championship in Melbourne, Australia, Friday, Jan. 24, 2025. (AP Photo/Ng Han Guan)
Jannik Sinner of Italy signs autographs after defeating Ben Shelton of the U.S. in their semifinal match at the Australian Open tennis championship in Melbourne, Australia, Friday, Jan. 24, 2025. (AP Photo/Manish Swarup)
Alexander Zverev, right, of Germany embraces Novak Djokovic of Serbia after Djokovic retired from their semifinal match at the Australian Open tennis championship in Melbourne, Australia, Friday, Jan. 24, 2025. (AP Photo/Ng Han Guan)
Jannik Sinner of Italy reacts during his semifinal match against Ben Shelton of the U.S. at the Australian Open tennis championship in Melbourne, Australia, Friday, Jan. 24, 2025. (AP Photo/Ng Han Guan)