Fakeeh became the president of FCG in 2012. The group operates four hospitals and five medical centers, with 835 beds, and served 1.9 million patients in the 12 months ending June 2026. In H1 2026, it had $1.6 billion in total assets and made over $406 million in revenues. In July 2026, FCG finalized the acquisition of the 350-bed Dr. Mohamed Alfagih Hospital in East Riyadh for a cash consideration of $426.7 million. Fakeeh is also the chairman of Al-Tor Medical Services Company, Medical Fakeeh, and Fakeeh College of Medical Sciences, among others.