The District serves an area of 135 square miles, covering the communities of Desert Hot Springs, North Palm Springs, West Garnet, West Palm Springs Village, Palm Springs Crest, and some adjacent areas of Riverside County. As of January 2005, it serves 27,000 people in an estimated 10,000 households and 450 businesses.

Water service to residential and commercial accounts takes about 10,000 acre/feet per year. The water served comes primarily from the Mission Creek Groundwater Subbasin and the Cabazon Groundwater Basin.

Sewer service is provided to over 40% of the customers. Thee District has worked with residents to form assessment districts that fund the replacing of customers' septic systems with more environmentally friendly sewer service. Wastewater treatment takes place in two treatment plants, the larger being the Alan L. Horton Wastewater Treatment Plant which can treat two million gallons of wastewater
per day.