Cops encountered Archangel-Ortiz holding a female staffer at gunpoint with her hands bound, officials said. The officers engaged Archangel-Ortiz in a firefight, killing him. Archangel-Ortiz wounded two cops and killed a third, who was identified as Andrew Duarte, 30, of the West York Borough Police Department.

Anguish and anger at the very recent loss of a loved one apparently spurred on the man who would target the intensive care unit at a Pennsylvania hospital Saturday morning, a senior law enforcement official briefed on the investigation told ABC News.

A gunman who held medical staff hostage before killing a police officer and wounding five others at a hospital in south-central Pennsylvania Saturday is believed to have visited the facility in the days leading up to the incident,

A gunman, armed with a handgun and carrying zip ties, went inside UPMC's ICU, and took staffers hostage before he was ultimately killed by police in a shootout, the York County DA said.