Portfolio (Quarterly) Guide ↗

ACUTE INVESTMENT ADVISORY, LLC

· CIK 0001944780

13F Portfolio $9M AUM 18 positions Filed Apr 27, 2026 EDGAR ↗ ← All Funds

Q1 2026 Q4 2025 · All 7 New 4 Added 5 Reduced 4 Exited

#	Ticker	Company	Sector	Shares	Value ↓	% Port	Chg Shares	Chg %	Period Price ①	Since Period ①
1	EMR	EMERSON ELEC CO	Industrials	12,020.0	$1.6M	17.68%	—	—	$131.02	+5.2%
2	SPHY	SPDR SERIES TRUST	—	35,900.0	$837K	9.40%	NEW	—	$23.32	-0.1%
3	PGX	INVESCO EXCH TRADED FD TR II	—	75,491.0	$821K	9.22%	+56K	+283.9%	$10.88	+1.5%
4	VTWO	VANGUARD SCOTTSDALE FDS	—	6,090.0	$610K	6.85%	NEW	—	$100.17	+12.0%
5	VGLT	VANGUARD SCOTTSDALE FDS	—	10,558.0	$584K	6.56%	+5K	+101.2%	$55.35	-3.2%
6	SPMB	SPDR SERIES TRUST	—	24,517.0	$549K	6.16%	NEW	—	$22.39	-1.5%
7	IWM	ISHARES TR	—	1,823.0	$452K	5.08%	+542.0	+42.3%	$248.00	+11.9%
8	IVV	ISHARES TR	—	659.0	$430K	4.83%	NEW	—	$653.21	+13.7%
9	QQQM	INVESCO EXCH TRADED FD TR II	—	1,799.0	$427K	4.80%	NEW	—	$237.62	+22.8%
10	SPY	STATE STR SPDR S&P 500 ETF T	Financial Services	620.0	$403K	4.53%	-32.0	-4.9%	$650.34	+13.7%
11	AAPL	APPLE INC	Technology	1,532.0	$389K	4.37%	—	—	$253.79	+18.3%
12	COST	COSTCO WHOLESALE CORPORATION	Consumer Defensive	342.0	$341K	3.83%	-35.0	-9.3%	$996.43	+4.5%
13	HYGH	ISHARES U S ETF TR	—	3,366.0	$288K	3.23%	NEW	—	$85.61	+0.8%
14	MGK	VANGUARD WORLD FD	—	716.0	$263K	2.95%	NEW	—	$367.44	-75.9%
15	QQQ	INVESCO QQQ TR	Financial Services	454.0	$262K	2.94%	-412.0	-47.6%	$577.18	+22.8%
16	SPYV	SPDR SERIES TRUST	—	4,204.0	$238K	2.67%	-3K	-42.2%	$56.58	+5.8%
17	DGRO	ISHARES TR	—	3,317.0	$233K	2.61%	+334.0	+11.2%	$70.18	+4.5%
18	XLC	SELECT SECTOR SPDR TR	—	1,842.0	$204K	2.29%	-47.0	-2.5%	$110.86	+4.7%

① Period Price is the implied market price on the last day of the reporting period, calculated as reported value ÷ shares held. It is not the fund's purchase price or cost basis — the fund may have initiated or added to the position at any point during the quarter at a different price. Since Period shows the price change from that quarter-end snapshot to today's last price — it reflects stock movement after the report date, not the fund's actual return.

Sector Allocation

Industrials 53.0%

Financial Services 22.4%

Technology 13.1%

Consumer Defensive 11.5%