# ACUTE INVESTMENT ADVISORY, LLC

> Institutional holdings reported to the SEC as of Q2 2026 on Form 13F. CIK 1944780. Source: https://holderbook.com/funds/1944780-acute-investment-advisory-llc/

- Reported value: $9.5M
- Positions: 18
- Weight of the ten largest: 75.0%
- Filed: 2026-07-28

A 13F reports long US equity positions only. Short positions, bonds, foreign listings, private holdings and cash are not visible, so this is not the manager's whole book.

## Holdings

| Security | Ticker | Value | Shares | Weight | Quarters held |
|---|---|---|---|---|---|
| EMERSON ELEC CO | [EMR](https://holderbook.com/stocks/EMR/) | $1.7M | 12,020 | 18.2% | 4 |
| INVESCO EXCH TRADED FD TR II | [PGX](https://holderbook.com/stocks/PGX/) | $838.8K | 77,378 | 8.9% | 8 |
| SPDR SERIES TRUST | [SPHY](https://holderbook.com/stocks/SPHY/) | $815.5K | 34,791 | 8.6% | 2 |
| VANGUARD SCOTTSDALE FDS | [VTWO](https://holderbook.com/stocks/VTWO/) | $703.3K | 5,792 | 7.4% | 2 |
| VANGUARD SCOTTSDALE FDS | [VGLT](https://holderbook.com/stocks/VGLT/) | $549.4K | 9,957 | 5.8% | 8 |
| ISHARES TR | [IWM](https://holderbook.com/stocks/IWM/) | $521.3K | 1,735 | 5.5% | 7 |
| INVESCO EXCH TRADED FD TR II | [QQQM](https://holderbook.com/stocks/QQQM/) | $518.7K | 1,712 | 5.5% | 2 |
| SPDR SERIES TRUST | [SPMB](https://holderbook.com/stocks/SPMB/) | $505.5K | 22,658 | 5.3% | 2 |
| ISHARES TR | [IVV](https://holderbook.com/stocks/IVV/) | $474.8K | 634 | 5.0% | 2 |
| APPLE INC | [AAPL](https://holderbook.com/stocks/AAPL/) | $443.3K | 1,532 | 4.7% | 19 |
| STATE STR SPDR S&P 500 ETF T | [SPY](https://holderbook.com/stocks/SPY/) | $442.8K | 593 | 4.7% | 7 |
| INVESCO QQQ TR | [QQQ](https://holderbook.com/stocks/QQQ/) | $324.0K | 440 | 3.4% | 7 |
| COSTCO WHOLESALE CORPORATION | [COST](https://holderbook.com/stocks/COST/) | $319.9K | 342 | 3.4% | 15 |
| VANGUARD WORLD FD | [MGK](https://holderbook.com/stocks/MGK/) | $306.2K | 3,483 | 3.2% | 2 |
| ISHARES U S ETF TR | [HYGH](https://holderbook.com/stocks/HYGH/) | $270.8K | 3,127 | 2.9% | 2 |
| SPDR SERIES TRUST | [SPYV](https://holderbook.com/stocks/SPYV/) | $244.6K | 4,024 | 2.6% | 5 |
| ISHARES TR | [DGRO](https://holderbook.com/stocks/DGRO/) | $239.9K | 3,165 | 2.5% | 5 |
| LAM RESEARCH CORP | [LRCX](https://holderbook.com/stocks/LRCX/) | $216.7K | 500 | 2.3% | 1 |

## What the disclosed book did

Not the fund's return. This is the change in value of the positions disclosed on Form 13F, had they been left untouched, against SPY over the same quarter ends.

| Quarter | Book | Market | Difference | Priced |
|---|---|---|---|---|
| Q2 2026 | +9.0% | +14.8% | -5.9% | 100% |
| Q1 2026 | -0.6% | -4.6% | +4.1% | 100% |
| Q4 2025 | +0.4% | +2.4% | -2.0% | 100% |
| Q3 2025 | +3.1% | +7.8% | -4.8% | 100% |
| Q2 2025 | +3.5% | +10.5% | -7.0% | 100% |
| Q1 2025 | -1.6% | -4.6% | +3.0% | 100% |
| Q4 2024 | -1.4% | +2.1% | -3.5% | 100% |
| Q3 2024 | +1.0% | +5.4% | -4.4% | 100% |

## Quarter by quarter

| Quarter | Value | Positions |
|---|---|---|
| Q2 2026 | $9.5M | 18 |
| Q1 2026 | $8.9M | 18 |
| Q4 2025 | $10.3M | 15 |
| Q3 2025 | $11.9M | 17 |
| Q2 2025 | $12.3M | 17 |
| Q1 2025 | $19.9M | 17 |
| Q4 2024 | $91.1M | 17 |
| Q3 2024 | $174.1M | 15 |
| Q2 2024 | $175.4M | 14 |
| Q1 2024 | $149.1M | 10 |
| Q4 2023 | $169.1M | 13 |
| Q3 2023 | $166.5M | 13 |