ACUTE INVESTMENT ADVISORY, LLC — 13F Holdings & Portfolio

CIK 1944780 · latest 13F-HR filed 2026-04-27

ACUTE INVESTMENT ADVISORY, LLC manages $8.9M in 13F-reported U.S. long-equity assets across 18 reported positions as of its 2026-03-31 13F-HR filing. Its largest disclosed positions are EMR (17.68%), SPHY (9.40%), PGX (9.22%). Quarter over quarter (versus its 2025-12-31 filing) the fund opened 7 new positions, exited 4, added to 4, and trimmed 5.

AUM is the long-equity portion reported on Form 13F-HR. Excludes short positions, cash, foreign holdings, and non-13F assets. For informational purposes only — not investment advice.

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AUM

$8.9M

Long-equity book

Holdings

18

Distinct positions

Period

2026-03-31

Filed 2026-04-27

Q/Q Activity

+7 / −4 / ↑4 / ↓5

vs 2025-12-31

Firm Profile & Key People
Name Title / Status Ownership Type

Top Adds (vs prior quarter)

  • INVESCO EXCH TRADED FD TR II$600.3K +271.6%
  • VANGUARD SCOTTSDALE FDS$291.7K +99.6%
  • ISHARES TR$136.8K +43.4%
  • ISHARES TR$25.7K +12.4%
Show all 4

Top Trims

  • INVESCO QQQ TR-$270.0K -50.7%
  • SPDR SERIES TRUST-$175.6K -42.5%
  • STATE STR SPDR S&P 500 ETF T-$41.4K -9.3%
  • APPLE INC-$28.5K -6.8%
  • SELECT SECTOR SPDR TR-$18.2K -8.2%
Show all 5

New Positions

  • SPDR SERIES TRUST$837.2K
  • VANGUARD SCOTTSDALE FDS$610.0K
  • SPDR SERIES TRUST$548.9K
  • ISHARES TR$430.5K
  • INVESCO EXCH TRADED FD TR II$427.5K
Show all 7

Exited Positions

  • ISHARES TR$3.1M
  • ISHARES TR$1.7M
  • ISHARES TR$393.6K
  • ISHARES TR$226.0K
Show all 4
All Holdings

Rows tagged Call or Put are options positions, not stock. Per SEC Form 13F-HR, Value shows the notional value of the underlying (shares covered × underlying price), not the option premium. Shares is the number of underlying shares covered (divide by 100 for contract count).

# Issuer Symbol CUSIP Value Weight Shares Type
1 EMERSON ELEC CO EMR 291011104 $1.6M 17.68% 12,020 SH
2 SPDR SERIES TRUST SPHY 78468R606 $837.2K 9.40% 35,900 SH
3 INVESCO EXCH TRADED FD TR II PGX 46138E511 $821.3K 9.22% 75,491 SH
4 VANGUARD SCOTTSDALE FDS VTWO 92206C664 $610.0K 6.85% 6,090 SH
5 VANGUARD SCOTTSDALE FDS VGLT 92206C847 $584.4K 6.56% 10,558 SH
6 SPDR SERIES TRUST SPMB 78464A383 $548.9K 6.16% 24,517 SH
7 ISHARES TR IWM 464287655 $452.1K 5.08% 1,823 SH
8 ISHARES TR IVV 464287200 $430.5K 4.83% 659 SH
9 INVESCO EXCH TRADED FD TR II QQQM 46138G649 $427.5K 4.80% 1,799 SH
10 STATE STR SPDR S&P 500 ETF T SPY 78462F103 $403.2K 4.53% 620 SH
11 APPLE INC AAPL 037833100 $388.8K 4.36% 1,532 SH
12 COSTCO WHOLESALE CORPORATION COST 22160K105 $340.8K 3.83% 342 SH
13 ISHARES U S ETF TR HYGH 46431W606 $288.2K 3.23% 3,366 SH
14 VANGUARD WORLD FD MGK 921910816 $263.1K 2.95% 716 SH
15 INVESCO QQQ TR QQQ 46090E103 $262.0K 2.94% 454 SH
16 SPDR SERIES TRUST SPYV 78464A508 $237.9K 2.67% 4,204 SH
17 ISHARES TR DGRO 46434V621 $232.8K 2.61% 3,317 SH
18 SELECT SECTOR SPDR TR XLC 81369Y852 $204.2K 2.29% 1,842 SH
Filing History
Period Filed AUM Holdings Accession
2026-03-31 2026-04-27 $8.9M 18 0001754960-26-000330
2025-12-31 2026-01-27 $10.3M 15 0001754960-26-000123