Former sports doctor Larry Nassar was sentenced to 40 to 125 years in prison Monday.
CNN reports he pleaded guilty to three counts of criminal sexual conduct in Eaton County, Michigan.
That's on top of a 60-year sentence for federal child pornography charges and a 40- to 175-year sentence for multiple sex crimes in another Michigan county.
During his sentencing hearings, hundreds of women shared victim impact statements.
On Monday, Nassar apologized to the court. He said the women's statements "impacted me to my innermost core." He also said, "It pales in comparison to the pain, trauma and emotions that you all are feeling."
While she was reading his final sentence, the judge said she thinks Nassar is in denial and that he does not understand the impact of what he did.
Additional reporting from Newsy affiliate CNN.