Do companies that are involved in ventures at the bottom of the pyramid (BOP) achieve both profit and an increase in the welfare of the poor as proposed by Prahalad and Hart (2002), or is there is a trade-off between profit and welfare as argued by critics of this proposition such as Karnani (2005). Research is lacking in the field, something that this investigation seeks to fill through qualitative research thereon. A central finding of this research was that the paradigms that the companies followed, impacted their views on welfare, profit and the trade-off. The findings reflect that companies have poor indicators of welfare and that there is very little evidence of companies measuring welfare. The findings in respect of a trade-off between profit and welfare is inconclusive, indicating that for some companies there is a trade-off but for others not. The trade-off may be explained by the view that capital should be patient and that the required profit will be achieved in the future. An alternative model of social entrepreneurship is suggested as a bridge between profit and welfare.