The Harm Reduction Coalition of San Diego finds itself in the spotlight following allegations of financial misconduct by a former executive. The case has sparked concerns about county oversight and the accountability of nonprofits receiving public funds.

On February 18, 2026former Chief Operating Officer Amy Knox appeared in court alongside her attorney, Richard Katzmanat the San Diego Central Courthouse. The charges against her include felony embezzlementwith allegations ranging from misuse of public funds to forgery and tax fraud.

The Whistleblower’s Report and County Response

In early 2026, a whistleblower contacted the county, revealing that Knox had a past conviction for embezzlement. At the time, Knox was overseeing the nonprofit’s finances, grants, and payroll. The whistleblower’s report prompted the county’s Health and Human Services Agency to notify the Harm Reduction Coalition that it was under audit.

County officials later ordered improvementsbut the extent of their actions to ensure compliance remains unclear. The case raises questions about whether county officials were aware of Knox’s criminal history when they awarded a second contract to the nonprofit in 2026.

Allegations and Legal Proceedings

Knox is accused of spending public money on personal expensesincluding plastic surgery and purebred dogs. She is also alleged to have forged an invoice to the county and submitted fraudulent tax forms. The case highlights the importance of transparency and accountability in nonprofit organizations receiving public funds.

The details of the case were uncovered through a legal battle to obtain records confirming the whistleblower’s report. The information was obtained after suing the county to force the release of the documents.

Broader Implications and Ongoing Investigations

The case against Knox is part of a broader examination of nonprofit accountability and county oversight. It underscores the need for rigorous financial controls and transparency in organizations handling public funds.

As the legal proceedings continue, the case serves as a reminder of the importance of whistleblower protections and the role they play in uncovering financial misconduct. The outcome of this case could have far-reaching implications for nonprofit organizations and the way they are monitored by county officials.