US sports doctor Larry Nassar has received his third and final prison sentence.
The former USA Gymnastics doctor was handed down a 40- to 125-year sentence for sex abuse crimes overnight in Michigan by Judge Janice Cunningham.
"The defendant methodically planned and carried out years of molestation against children," said Cunningham in her Eaton County courtroom. "The defendant also molested adults who trusted him."
According to the New York Post, shortly before the sentencing, Nassar, wearing an orange jumpsuit, said: "The words expressed by everyone that has spoken, including the parents, have impacted me to my innermost core."
He added: "The visions of your testimonies will forever be present in my thoughts."
Judge Cunningham in her closing statements said to Nassar: "I am not convinced that you truly understand that what you did was wrong and the devastating impact that you had on the victims, their families and friends."
"Clearly you are in denial," the judge said. "You don't get it and I do not believe there is a likelihood that you could be reformed."
"There is absolutely no question that society must be protected [from] Larry Nassar," Judge Cunningham said.
The sentencing followed victim impact statements by more than 65 women for two days last week - during which Nassar was nearly attacked by a raging father whose three daughters said they were all molested by Nassar.
In the Eaton County case, Nassar, 54, had pleaded guilty to 13 counts of criminal sexual conduct for molesting three young girls who sought treatment from him while he volunteered at Twistars Gymnastics Club - an elite Dimondale, Michigan, club that was run by former US Olympic coach John Geddert.
Michigan Assistant Attorney-General Angela Povilaitis said in court on Monday that "the breadth of the defendant's abuse and destruction is nearly infinite."
So far, more than 250 women, including Olympians like Aly Raisman and Simone Biles, have accused the convicted paedophile of sexually abusing them under the guise of medical treatment. The abuse stretched back decades.
Last month, Nassar was sentenced to 40 to 175 years in another Michigan county courtroom by Judge Rosemarie Aquilina, who at the time declared that she had just signed Nassar's "death warrant."
In that case, Nassar had pleaded guilty to sexually abusing seven athletes during treatment when he was employed by Michigan State University and USA Gymnastics, which trains Olympians.
But as part of his plea agreement, any accuser was allowed to deliver a victim impact statement, and scores of victims spoke out over the course of seven days in the Ingham County courtroom.
Before that, Nassar was sentenced to 60 years in federal prison on child pornography charges.
This story was originally published in the New York Post and is reprinted with permission.