LANSING, Michigan: The former sports doctor who admitted molesting some of the nation's top gymnasts for years under the guise of medical treatment was sentenced Wednesday to 40 to 175 years in prison by a judge who proudly told him, "I just signed your death warrant."
The sentence capped a remarkable seven-day hearing in which more than 150 of Larry Nassar's victims offered statements about the physician who was renowned for treating athletes at the sport's highest levels. Some confronted him face to face in the Michigan courtroom.
"It is my honour and privilege to sentence you. You do not deserve to walk outside a prison ever again. You have done nothing to control those urges and anywhere you walk, destruction will occur to those most vulnerable," Judge Rosemarie Aquilina said.
Nassar's actions were "precise, calculated, manipulative, devious, despicable," she said.
When the hearing ended, the courtroom broke into applause. Victims and prosecutors embraced at the conclusion of the gruelling 16-month case.
Before serving the Michigan sentence, the 54-year-old Nassar must first serve a 60-year federal sentence for child pornography crimes.
With credits for good behaviour, he could complete that sentence in about 55 years. But by then, he would be more than 100 years old if still alive. He is scheduled to be sentenced next week on more assault convictions in Eaton County, Michigan.
A prosecutor called Nassar "possibly the most prolific serial child sex abuser in history" and said he found competitive gymnastics to be a "perfect place" for his crimes because victims saw him as a "god."
Prosecutor Angela Povilaitis also said Nassar "perfected a built-in excuse and defence" as a doctor, even though he was "performing hocus-pocus medicine."
"It takes some kind of sick perversion to not only assault a child but to do so with her parent in the room," Povilaitis said. "To do so while a line-up of eager young gymnasts waited."
She urged people to believe young victims of sexual abuse no matter who they accuse.
Although Nassar's work with gymnasts received the most attention, the allegations against him spanned a dozen sports over 25 years.
Nassar turned to the courtroom gallery to make a brief statement, saying that the victims' accounts had "shaken me to my core." He said "no words" can describe how sorry he is for his crimes.
"I will carry your words with me for the rest of my days" he said as many of his accusers wept.
The judge then read from a letter that Nassar had written to her in which he complained about the sentence he had been given in the child-pornography case and defended his actions with the athletes as "medical, not sexual."
"I was a good doctor because my treatment worked, and those patients that are now speaking out were the same ones that praised and came back over and over, and referred family and friends to see me."
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LANSING, Michigan: One of the first athletes to accuse Larry Nassar of sexual assault confronted him Wednesday in a Michigan courtroom where the former sports doctor was due to the sentenced for years of molesting Olympic gymnasts and other young women.
The last of more than 150 victims to offer statements at Nassar's sentencing hearing was a Kentucky lawyer who stepped forward in 2016 after USA Gymnastics was accused of mishandling complaints of sexual assault.
Rachael Denhollander said Nassar groped, fondled and penetrated her with his hands when she was a 15-year-old gymnast in Michigan. Denhollander's statements to Michigan State University police put the criminal investigation in high gear in 2016.
"You have become a man ruled by selfish and perverted desires," she told Nassar, who worked at the university and USA Gymnastics, the sport's governing body, which also trains Olympians.
Nassar faces a minimum prison term of 25 to 40 years when he is sentenced later Wednesday by Judge Rosemarie Aquilina.
The sentence will cap a remarkable seven-day hearing that has given the girls, young women and their parents a chance to confront the doctor in court.
Nassar, 54, pleaded guilty to assaulting seven people in the Lansing area, but the sentencing hearing has been open to anyone who said they were a victim. His accusers said he would use his ungloved hands to penetrate them, often without explanation, while they were on a table seeking help for various injuries.
The accusers, many of whom were children, said they trusted Nassar to care for them properly, were in denial about what was happening or were afraid to speak up. He sometimes used a sheet or his body to block the view of any parent in the room.
"I'd been told during my entire gymnastics career to not question authority," a former elite gymnast, Isabell Hutchins, said Tuesday.
The judge is likely to be unsparing in her treatment of Nassar. Aquilina has praised the victims who have appeared in her court since Jan. 16, calling them "sister survivors," while also assuring them that their perpetrator will pay. The women have included Olympians Aly Raisman, Jordyn Wieber and McKayla Maroney.
"Your words are vital. They are as strong as your martial arts," Aquilina told Christina Barba, who has known Nassar for decades and practices karate. "They will take him down quicker and cleaner than any kick you've got."
Hutchins and Mattie Larson, a former national gymnast, talked about how Nassar won their allegiance with candy, Olympic trinkets and encouraging words while they were under constant scrutiny from their demanding coaches.
Brooke Hylek, a gymnast who plans to compete in college, heaped scorn on Nassar.
"I cannot believe I ever trusted you, and I will never forgive you," she said Tuesday. "I'm happy you will be spending the rest of your life in prison. Enjoy hell by the way."
Emily Morales had a softer message.
"I want you to apologise to me right here," the 18-year-old told Nassar. "I want to forgive you, but I also want to hear you tell me that you regret all the hurting you caused."
He did. She replied with, "Thank you."
Nassar has already been sentenced to 60 years in federal prison for child pornography crimes. He is scheduled to be sentenced next week on more assault convictions in Eaton County, Michigan.