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.

A 49-year-old gunman was shot and killed by police after they said he held multiple UPMC staff members hostage and shot multiple people.

Authorities described the shooting of a gunman who opened fire at a Pennsylvania hospital as “absolutely justified, beyond any and all doubt.”

The man who authorities say entered a Pennsylvania hospital with zip ties and a pistol over the weekend had recent contact with the hospital's intensive care unit, where he took staff members hostage and was killed in a shootout that left a police officer dead and others injured.

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,

The suspect, Diogenes Archangel Ortiz, entered the hospital with handgun and zip ties Saturday morning and took several staff members hostage, state officials said.