Al-Arifi was appointed to his current role in 2015. In May 2024, the company revealed that it had signed an exclusive distribution agreement for intravenous pumps with China-based Medcaptain Medical Technology. In the first half of 2024, SMEH generated $116 million in revenues, an increase of 22% compared to 2023. Al-Arifi is also the chairman of the German Metal Surface Treatment Chemicals Company and vice chairman of Protecta Vision and the Girgas Pharmaceutical Warehouse Company.