PIH is a diversified business group operating in multiple sectors, including contracting, agriculture and food, real estate, and healthcare. It employs 65,000 people. In 2022, PIH supported the FIFA World Cup 2022 in Qatar by launching Al Maha Island and 11 international F&B brands. It also opened a hospital with 240 beds in affiliation with Cedars-Sinai and listed two of its subsidiaries: Baladna and Estithmar Holding. In June 2023, PIH signed an MoU with China International Capital Corporation and Baiterek National in Kazakhstan. The group plans to expand its operations in Saudi Arabia, Algeria, Maldives, Antigua, and the Seychelles.