I'll give it one more try. This is frustrating.

"Healthcare Expenses are an annual type of deduction that won't show up in P&L"

This makes no sense for a variety of reasons. Healthcare expense are like any other expense and should show up in P&L. I shouldn't have to add it manually.

" It isn't included in the calculation of the Quarterly estimated taxes."

It should in QB because it is used, in fact, to calculate quarterly taxes. I have to do this manually.