Vayalil founded Burjeel Holdings in 2007. Today, its network spans 89 assets across the U.A.E., Oman, and Saudi Arabia, including 19 hospitals, 47 medical centers, 15 pharmacies, and other allied services. In the first half of 2024, the group had $1.5 billion in assets and made $650 million in revenues. Vayalil is also the chairman of Amanat Holdings and a board member at Response Plus Holding. He had a net worth of $3.1 billion as of August 2024.