The ringleader of an identity theft/tax fraud ring that involved Troy Regional Medical Center in Alabama has received a 10-year prison sentence, the Troy Messenger newspaper reports.

Rhashema Deramus pleaded guilty for operating a ring that stole patient information from the hospital, used the identities to file fraudulent tax returns, and placed the refunds on at least 520 pre-paid debit cards, which ring members then cashed out at ATMs, collecting nearly $1.2 million. In her plea bargain, she agreed to testify against other defendants.

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