Managers / Q1 2026
ACUTE INVESTMENT ADVISORY, LLC
CIK 0001944780 · 4856 EAST BASELINE ROAD, SUITE 104, MESA, AZ, 85206 · 480-620-6907
Summary
Acute Investment Advisory, LLC reported $9M in U.S.-listed holdings across 18 positions for Q1 2026.
Its largest position, Spdr Series, represents 18.2% of the portfolio.
Compared with Q4 2025, the fund opened 7 new positions and exited 4.
Portfolio Metrics
Methodology: turnover is min(value bought, value sold) ÷ average reported value across the two quarters — value-based, so market moves inflate it slightly versus a share-based measure. Concentration and largest position are shares of the filing’s total reported value, options excluded, with multiple share classes and repeated sub-manager rows for the same issuer combined into one position — the same rule the holdings table uses by default. New/exited counts compare against the prior filed quarter. All figures derive solely from the fund’s 13F filings.
Reported Value by Quarter
Portfolio Composition
- ETP · 74.1% · $7M
- Common Stock · 25.9% · $2M
Quarter-over-Quarter Changes full breakdown →
vs Q4 2025 (amended baseline)
| Issuer | Move | Share Δ | Shares now | Value Δ | Value now |
|---|---|---|---|---|---|
| SPDR SERIES TRUST | NEW | +35.9K | 35.9K | +$837,188 | $837,188 |
| VTWOVANGUARD SCOTTSDALE FDS | NEW | +6.1K | 6.1K | +$610,035 | $610,035 |
| SPDR SERIES TRUST | NEW | +24.5K | 24.5K | +$548,936 | $548,936 |
| IVVISHARES TR | NEW | +659 | 659 | +$430,465 | $430,465 |
| QQQMINVESCO EXCH TRADED FD TR II | NEW | +1.8K | 1.8K | +$427,478 | $427,478 |
| HYGHISHARES U S ETF TR | NEW | +3.4K | 3.4K | +$288,163 | $288,163 |
| MGKVANGUARD WORLD FD | NEW | +716 | 716 | +$263,087 | $263,087 |
| PGXINVESCO EXCH TRADED FD TR II | ADDED | +55.8K | 75.5K | +$600,341 | $821,342 |
Value changes conflate price moves with buying and selling — share changes are the real signal. Share counts are not split-adjusted.
Holdings — Q1 2026
| # | Issuer | Class | % Portfolio | Value ↓ | Shares |
|---|---|---|---|---|---|
| 1 | SPDR SERIES TRUST | STATE STREET SPD | 18.23% | $2M | 64.6K |
| 2 | EMREMERSON ELEC COhistory → | COM | 17.68% | $2M | 12.0K |
| 3 | PGXINVESCO EXCH TRADED FD TR II | PFD ETF · NASDAQ 100 ETF | 14.02% | $1M | 77.3K |
| 4 | VTWOVANGUARD SCOTTSDALE FDS | VNG RUS2000IDX · LONG TERM TREAS | 13.41% | $1M | 16.6K |
| 5 | IWMISHARES TR | RUSSELL 2000 ETF · CORE S&P500 ETF · CORE DIV GRWTH | 12.52% | $1M | 5.8K |
| 6 | SPYSTATE STR SPDR S&P 500 ETF Thistory → | TR UNIT | 4.53% | $403,211 | 620 |
| 7 | AAPLAPPLE INChistory → | COM | 4.36% | $388,806 | 1.5K |
| 8 | COSTCOSTCO WHOLESALE CORPORATIONhistory → | COM | 3.83% | $340,779 | 342 |
| 9 | HYGHISHARES U S ETF TRhistory → | IT RT HDG HGYL | 3.23% | $288,163 | 3.4K |
| 10 | MGKVANGUARD WORLD FDhistory → | MEGA GRWTH IND | 2.95% | $263,087 | 716 |
| 11 | QQQINVESCO QQQ TRhistory → | UNIT SER 1 | 2.94% | $262,040 | 454 |
| 12 | XLCSELECT SECTOR SPDR TRhistory → | STATE STREET COM | 2.29% | $204,204 | 1.8K |
Filing History
| Quarter | Reported Value | Positions | Filed | Type | Links |
|---|---|---|---|---|---|
| Q1 2026 | $9M | 18 | Apr 27, 2026 | 13F-HR | changes · EDGAR ↗ |
| Q4 2025 | $10M | 15 | Jan 27, 2026 | 13F-HR | changes · EDGAR ↗ |
| Q3 2025 | $12M | 17 | Oct 29, 2025 | 13F-HR | changes · EDGAR ↗ |
| Q2 2025 | $12M | 17 | Jul 22, 2025 | 13F-HR | changes · EDGAR ↗ |
| Q1 2025 | $20M | 17 | Apr 28, 2025 | 13F-HR | changes · EDGAR ↗ |
| Q4 2024 | $91M | 17 | Jan 24, 2025 | 13F-HR | changes · EDGAR ↗ |
| Q3 2024 | $174M | 15 | Oct 29, 2024 | 13F-HR | changes · EDGAR ↗ |
| Q2 2024 | $175M | 14 | Jul 18, 2024 | 13F-HR | changes · EDGAR ↗ |
| Q1 2024 | $149M | 10 | Apr 25, 2024 | 13F-HR | changes · EDGAR ↗ |
| Q4 2023 | $169M | 13 | Jan 30, 2024 | 13F-HR | changes · EDGAR ↗ |
| Q3 2023 | $166M | 13 | Oct 24, 2023 | 13F-HR | changes · EDGAR ↗ |
| Q2 2023 | $166M | 14 | Jul 27, 2023 | 13F-HR | changes · EDGAR ↗ |
| Q1 2023 | $153M | 13 | Apr 21, 2023 | 13F-HR | changes · EDGAR ↗ |
| Q4 2022 | $147M | 19 | Jan 18, 2023 | 13F-HR | changes · EDGAR ↗ |
| Q3 2022 | $139M | 27 | Oct 20, 2022 | 13F-HR | changes · EDGAR ↗ |
| Q2 2022 | $129M | 27 | Aug 31, 2022 | 13F-HR | changes · EDGAR ↗ |
13F filings are due up to 45 days after quarter end, so holdings shown here lag the fund’s current book. Source: original SEC filing on EDGAR ↗.