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ACUTE INVESTMENT ADVISORY, LLC

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13F filer, CIK 1944780, MESA, AZ

ACUTE INVESTMENT ADVISORY, LLC reported $8,907,785 across 18 holdings for the quarter ended 2026-03-31, in a 13F-HR filed 2026-04-27. Its ten largest share positions make up 75.1% of the portfolio.

Filed (acceptance time not in the bulk data set), ingested 13F-HR 0001754960-26-000330

Period
2026-03-31
Reported value
$8.91M
Holdings
18
Top 10 weight
75.1%
New
7
Sold out
4

Largest buys vs the previous quarter

SecurityShares changeApprox. value
SPHYnew+35,900$837K
VTWOnew+6,090$610K
PGXadded+55,829$607K
SPMBnew+24,517$549K
IVVnew+659$430K

Ranked by the share change valued at this quarter's implied price (value over shares in the 13F). A position sold out is valued at the previous quarter's price, its last report.

Largest sells vs the previous quarter

SecurityShares changeApprox. value
TFLOexited-60,708-$3.06M
ICSHexited-32,682-$1.65M
SHVexited-3,573-$394K
QQQreduced-412-$238K
IEFexited-2,350-$226K

Ranked by the share change valued at this quarter's implied price (value over shares in the 13F). A position sold out is valued at the previous quarter's price, its last report.

Holdings, Q1 2026

Share positions as resolved from 13F-HR 0001754960-26-000330, largest first. % of portfolio is the value over $8,907,785, the sum of the share positions whose value is usable for ratios (method).

SecurityHistorySharesValue% of portfolioChangeLatest eventTimeline
EMREMERSON ELEC COQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: 12,020 shares; 2025Q4: 12,020 shares; 2026Q1: 12,020 shares 12,020$1.57M17.68%0Timeline
SPHYSPDR SERIES TRUSTQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: 35,900 shares 35,900$837K9.4%newTimeline
PGXINVESCO EXCH TRADED FD TR IIQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: 322,014 shares; 2024Q4: 186,915 shares; 2025Q1: 43,207 shares; 2025Q2: 27,145 shares; 2025Q3: 22,576 shares; 2025Q4: 19,662 shares; 2026Q1: 75,491 shares 75,491$821K9.22%+55,829Timeline
VTWOVANGUARD SCOTTSDALE FDSQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: 6,090 shares 6,090$610K6.85%newTimeline
VGLTVANGUARD SCOTTSDALE FDSQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: 204,867 shares; 2024Q4: 128,052 shares; 2025Q1: 13,209 shares; 2025Q2: 7,201 shares; 2025Q3: 6,006 shares; 2025Q4: 5,247 shares; 2026Q1: 10,558 shares 10,558$584K6.56%+5,311Timeline
SPMBSPDR SERIES TRUSTQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: 54,637 shares; 2024Q4: 31,909 shares; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: 24,517 shares 24,517$549K6.16%newTimeline
IWMISHARES TRQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: 16,301 shares; 2025Q1: 3,238 shares; 2025Q2: 1,936 shares; 2025Q3: 1,551 shares; 2025Q4: 1,281 shares; 2026Q1: 1,823 shares 1,823$452K5.08%+542Timeline
IVVISHARES TRQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: 659 shares 659$430K4.83%newTimeline
QQQMINVESCO EXCH TRADED FD TR IIQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: 1,799 shares 1,799$427K4.8%newTimeline
SPYSTATE STR SPDR S&P 500 ETF TQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: 7,947 shares; 2025Q1: 1,608 shares; 2025Q2: 950 shares; 2025Q3: 761 shares; 2025Q4: 652 shares; 2026Q1: 620 shares 620$403K4.53%-32Timeline
AAPLAPPLE INCQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: 1,648 shares; 2024Q4: 1,426 shares; 2025Q1: 1,420 shares; 2025Q2: 1,430 shares; 2025Q3: 1,430 shares; 2025Q4: 1,535 shares; 2026Q1: 1,532 shares 1,532$389K4.36%-3Timeline
COSTCOSTCO WHOLESALE CORPORATIONQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: 407 shares; 2024Q4: 407 shares; 2025Q1: 377 shares; 2025Q2: 377 shares; 2025Q3: 377 shares; 2025Q4: 377 shares; 2026Q1: 342 shares 342$341K3.83%-35Timeline
HYGHISHARES U S ETF TRQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: 3,366 shares 3,366$288K3.23%newTimeline
MGKVANGUARD WORLD FDQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: 26,185 shares; 2025Q1: 5,354 shares; 2025Q2: 800 shares; 2025Q3: 638 shares; 2025Q4: not reported; 2026Q1: 716 shares 716$263K2.95%newTimeline
QQQINVESCO QQQ TRQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: 10,593 shares; 2025Q1: 2,129 shares; 2025Q2: 1,287 shares; 2025Q3: 1,029 shares; 2025Q4: 866 shares; 2026Q1: 454 shares 454$262K2.94%-412Timeline
SPYVSPDR SERIES TRUSTQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: 10,384 shares; 2025Q3: 8,326 shares; 2025Q4: 7,278 shares; 2026Q1: 4,204 shares 4,204$238K2.67%-3,074Timeline
DGROISHARES TRQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: 4,257 shares; 2025Q3: 3,449 shares; 2025Q4: 2,983 shares; 2026Q1: 3,317 shares 3,317$233K2.61%+334Timeline
XLCSELECT SECTOR SPDR TRQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q2: restricted; 2024Q3: not reported; 2024Q4: 23,426 shares; 2025Q1: 4,718 shares; 2025Q2: 2,746 shares; 2025Q3: 2,342 shares; 2025Q4: 1,889 shares; 2026Q1: 1,842 shares 1,842$204K2.29%-47Timeline

Sold out in Q1 2026

Positions in the previous quarter's report that this quarter's report no longer lists.

SecurityShares beforeValue beforeType
TFLOISHARES TR60,708$3.06Mshares
ICSHISHARES TR32,682$1.65Mshares
SHVISHARES TR3,573$394Kshares
IEFISHARES TR2,350$226Kshares

How Q1 2026 was built

Available 13F filings of this filer for the quarter and their roles: the base report is the latest original or restatement, NEW HOLDINGS amendments filed after it are added (method).

FilingRoleAmendmentFiledAcceptedIngested
13F-HR 0001754960-26-000330 base2026-04-27acceptance time not in the bulk data set