In 2023, the diocese had 35 parishes in the American states of Colorado, Wyoming, Montana, Arizona, Idaho, Missouri, California, Oregon, Washington, Ohio, South Dakota, Minnesota, New Jersey and Hawaii.
Most of their parishes decided to create the PEARUSA, as the new missionary district of the Province of the Anglican Church of Rwanda, also a dual member of the ACNA, since June 2012.
PEARUSA had three regional networks, Mid-Atlantic and Northeast, West and Southeast.
It was decided that all the three regional networks of PEARUSA would join the ACNA at the Synod of the Province of the Anglican Church of Rwanda, at 23 September 2015.
The Provincial Council of ACNA, at 21 June 2016, decided that the two regional networks of Mid-Atlantic and Northeast, and West would become two new dioceses, the Anglican Diocese of Christ Our Hope and the Anglican Diocese of the Rocky Mountains, originated from the regional network of the West.