Two former West Yorkshire Metropolitan Ambulance Service executives have been ordered to repay £242,717.20 after being jailed for three years last May for defrauding the service.
Trevor Molton, former chief executive, and John Miners, former director of finance, were ordered to share the repayment equally.
Molton and Miners were also ordered to pay prosecutions costs of £20,500 and £30,000 respectively to the NHS Counter Fraud Service.
A NHS spokesman said: "We are pleased that the money stolen can now be reinvested back into ambulance services in West Yorkshire. Molton and Miners have now lost their jobs, their liberty and ordered to repay the money they stole.
"Trevor Molton and John Miners were in senior positions in the NHS, positions requiring high levels of trust and responsibility. They flagrantly abused those positions to defraud the NHS.
"Their actions can only be described as disgraceful and have received the punishment they deserve."
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