The Company leases its office facilities and office equipment which are accounted for as operating leases. Some leases contain clauses for renewal at the Company's option with renewal terms that generally extend the lease term from 1 to 7 years.

The components of lease expense for the Company's operating leases in its consolidated statements of operations and comprehensive loss were as follows:


	Year Ended December 31,
	2023		2022
Operating lease costs	$	56,677	$	54,217

Variable lease costs and short-term lease costs were not material.

The weighted-average remaining lease term and discount rate for operating lease liabilities included in the consolidated balance sheets are as follows:


	December 31,
	2023			2022
Weighted-average remaining lease term (in years)		4.6			5.3
Weighted-average discount rate		7.11	%		6.47	%

Supplemental cash flow information related to operating leases was as follows:


	Year Ended December 31,
	2023		2022
Cash paid for amounts included in the measurement of lease liabilities
Operating cash flows from operating leases	$	63,363	$	53,371
Noncash lease activity
Right-of-use lease assets obtained in exchange for new operating lease liabilities	$	16,020	$	47,837

The future minimum lease payments under noncancellable operating leases as of December 31, 2023 are as follows:


Year Ended December 31,	Amount
2024	$	60,879
2025		61,735
2026		54,261
2027		40,856
2028		28,703
Thereafter		23,085
Total lease payments	$	269,519
Less: imputed interest		(41,687	)
Total lease liabilities	$	227,832

Related party lease transactions were not material as of and for the year ended December 31, 2023. The Company incurred $1,565 in related-party lease expense in its consolidated statements of operations and comprehensive loss for the year ended December 31, 2022. The Company had $5,058 in right-of-use assets, $1,324 in operating lease liabilities, current, and $3,902 in operating lease liabilities, noncurrent, with related parties as of December 31, 2022.

In 2023, the Company announced a strategic re-focus, to prioritize resources and close certain centers as a direct result of changes to the Company's business model driven by a shift to more virtual visits initiated by the COVID-19 pandemic. During the year ended December 31, 2023, the Company substantially completed a significant reduction in physical space and exited several underoccupied offices by both negotiating terminations of and abandoning certain real estate leases. The Company accounts for real estate optimization restructuring charges in accordance with ASC 420, Exit or Disposal Cost Obligations and ASC 360-10, Property, Plant, and Equipment. The costs are included in general and administrative expenses in the consolidated statements of operations and comprehensive loss.

During the year ended December 31, 2023, the Company recorded $10,970 of office space reductions, including primarily of $4,734 of right-of-use asset impairment, $4,618 of property and equipment disposal and impairment costs, and $2,419 of gains related to early lease terminations. The portion of these amounts to be settled by cash disbursements was accounted for as an exit cost liability within other current liabilities and other noncurrent liabilities within the consolidated balance sheets and are not material as of December 31, 2023.

Prior to the adoption of ASC 842 as of January 1, 2022, the Company accounted for its operating lease arrangements under ASC 840 with no right-of-use assets or lease liabilities being reflected on the consolidated balance sheets. Total rent expense amounted to as follows in the consolidated statements of operations and comprehensive loss:


	Year Ended December 31, 2021
Related-party rent expense	$	2,763
Third-party rent expense		32,630
Total lease cost	$	35,393