Note: This story contains graphic descriptions of sexual abuse that may be offensive to some readers or painful to survivors of sexual assault. We think it is necessary to report this information as a warning and a reminder of what comprises sexual abuse.
Former USA Gymnastics team doctor Larry Nassar was sentenced Wednesday to 40 to 175 years in prison, after pleading guilty to sexual assault.
What did Larry Nassar actually do to his victims?
► USA Gymnastics settlement: Here's a look at the crimes that led to it
► Empowering: Some of the most powerful Larry Nassar victim testimony
► His sentencing: Here's how long Larry Nassar could spend behind bars
► Ripple effect: Impact IndyStarinvestigation into USA Gymnastics and Larry Nassar
Larry Nassar's specific crimes
Nassar, 54, was a doctor of osteopathic medicine and performed osteopathic manipulation, in which a doctor uses their hands to move a patient's muscles and joints with techniques that include stretching, gentle pressure and resistance.
For more than a year after being accused in criminal complaints of sexual abuse, Nassar maintained he was performing legitimate medical procedures.
Introductory offer for new subscribers:Support the local journalism that powers the IndyStar
Nassar pleaded guilty to 10 counts of first-degree criminal sexual conduct in connection with 10 victims in two Michigan counties. All but one of the victims was abused during a medical appointment. The criminal complaint said all of Nassar's victims were sexually penetrated when he put his fingers into their vaginas.
Under Michigan law, a person is guilty of criminal sexual conduct in the first degree if he or she engages in sexual penetration with another person under several conditions, including when the victim is younger than 13 years of age or the victim is younger than 16 and the perpetrator is in a position of authority over the victim and used that authority to coerce the victim to submit.
By pleading guilty to the charges, Nasser admitted that as a doctor, he was in a position of authority over his victims, and that he used that position to coerce them to submit to the penetration. All of the victims in the Michigan cases were under the age of 16 and three were younger than 13.
Lead Prosecutor Angela Povilaitis also said during the sentencing phase of Nassar's trial that he penetrated his patients' anuses and vaginas with his bare hands.
Seven women who contacted IndyStar about Nassar said the doctor penetrated them in the vagina with his finger with some instances occurring in hotels and training camps. Five said they were underage at the time and that Nassar did not wear gloves. Three also said that he touched their breasts. Three of the women said the doctor was visibly sexually aroused during at least one treatment.
Nassar was sentenced to 40 to 175 years in prison for the seven counts that occurred in Ingham County, Mich. His sentencing in Michigan's Eaton County, where he pleaded guilty to three other charges, began with victim testimony onJan. 31, 2018.
In a separate federal case, Nassar was sentenced in December 2017 to 60 years in federal prison — 20 years on each of three counts — on child pornography charges to which he pleaded guilty. Investigators said he had at least 37,000 videos and images of child pornography, including images of prepubescent children engaged in sex acts.
Larry Nassar's career path
Nassar began working with gymnasts in the late 1970s as a student athletic trainer. He was a revered figure in sports medicine, who graduated from the University of Michigan in 1985 with a degree in kinesiology. He joined USA Gymnastics national team's medical staff in 1986 as an athletic trainer.
In 1993, Nassar received anosteopathic medical degree from Michigan State University. Three years later, he was appointed the national medical coordinator for USA Gymnastics. He became a team physician and assistant professor at MSU in 1997.
MSU fired Nassar in September 2016 from his position as an associate professor in the College of Osteopathic Medicine.USA Gymnastics has said that it cut ties with Nassar in the summer of 2015, but he disputed that, saying he left voluntarily.
IndyStar reporters Marisa Kwiatkowski, Tim Evans and Mark Alesia contributed to this story. Call IndyStar digital producer Dwight Adams at (317) 444-6532. Follow him on Twitter: @hdwightadams.
► What the prosecutor said: 7 lessons we learned from Larry Nassar sentencing
► IndyStar interview: Larry Nassar was at times arrogant or nervous, during only interview on sex abuse
► Rachael Denhollander's brave journey: She was the lone voice for"army"at Larry Nassar's sentencing
► Out of Balance: An IndyStar investigation into USA Gymnastics
This article originally appeared on Indianapolis Star: USA Gymnastics FBI failures: What did Larry Nassar do to his victims?