Document:

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                                                                   EXHIBIT 10.11

                         RECEIVABLES PURCHASE AGREEMENT

         This Receivables Purchase Agreement ("Agreement") is entered into as of
March 29, 2002 between American Reimbursement, LLC, a Delaware limited liability
company ("Buyer") and Chartwell Diversified Services, Inc., a Delaware
corporation ("Seller"), with reference to the following facts:

         Subject to Section 3 below, Seller is the owner of certain accounts
receivable as listed on SCHEDULE A hereto (the "A/R"). Seller desires to sell,
and Buyer desires to purchase, the A/R upon the terms and conditions set forth
in this Agreement.

         NOW, THEREFORE, in consideration of the foregoing, of the agreements
set forth herein and other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, Buyer and Seller agree as follows:

         1. SALE OF A/R. Seller hereby, sells, assigns, transfers, conveys and
sets over unto Buyer all of its right, title and interest in and to the A/R in
exchange for Buyer's agreement set forth herein to pay to Seller the Purchase
Price therefor.

         2. PAYMENT OF PURCHASE PRICE. Buyer hereby agrees to pay to Seller the
Purchase Price for the A/R as set forth in this Section 2. The "Purchase Price"
for each account receivable included in the A/R means the actual collections
made and received by or on behalf of Buyer on such account receivable. Within
two (2) business days of Buyer's receipt of any such collections, thirty percent
(30%) thereof shall be remitted directly to Seller (or in accordance with
Seller's written instructions). Buyer's obligation to pay to Seller the
remaining seventy (70%) of such collections shall be evidenced by a promissory
note made by Buyer to Seller, substantially in the form of EXHIBIT A hereto
(each a "Note"). All payments of the Purchase Price (including payments under
any Note) shall be made in accordance with the instructions set forth EXHIBIT B
hereto.

Seller expressly acknowledges and agrees that Buyer's obligation to pay the
Purchase Price is subject and subordinate to Buyer's assumption and
indemnification obligations under that certain Assumption and Indemnification
Agreement dated as of March 29, 2002 between Buyer and Med Diversified, Inc.

         3. REPRESENTATIONS; DISCLAIMER. Buyer expressly understands and agrees
that Seller makes no representations or warranties with respect to the A/R, the
documents evidencing or securing such A/R or otherwise, except that Seller
represents and warrants that it is transferring title to such accounts
receivable subject only to such interests as are reflected in the public
financing statement records.

         4. FURTHER ASSURANCES. Seller agrees to cooperate with Buyer and to
execute and deliver such additional instruments as may be reasonably necessary
in order to give effect to Buyer's acquisition of the A/R.

         5. MISCELLANEOUS. This Agreement and the Notes represent the entire
understanding of the parties with respect to the subject matter hereof, and may
be executed in counterparts (including counterparts delivered by facsimile),
each of which shall be considered an original but all of which taken together
shall constitute one and the same agreement. Any notice given by any party in
connection with this Agreement or any Note shall be effective only upon its
receipt by the other party and only if (a) given in writing and (b) personally
delivered or sent by United States mail, postage prepaid, and addressed to the
recipient at its address set forth beneath its signature to this Agreement,
which address may be changed pursuant to a notice given as provided herein. This
Agreement shall be governed by and construed in accordance with the laws of the
State of Delaware.

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         IN WITNESS WHEREOF, the parties have caused this Receivables Purchase
Agreement to be executed and delivered by their respective duly authorized
representatives as of the date first written above.

AMERICAN REIMBURSEMENT,              CHARTWELL DIVERSIFIED SERVICES,
LLC                                  INC.

By:  /s/ Richard J. Boudreau         By:  /s/ Edwin Reilly
   -----------------------------        --------------------------
Name:    Richard J. Boudreau         Name:    Edwin Reilly
Title:   Manager                     Title:   Secretary
Address: 77 Main Street              Address: 200 Brickstone Sq.
         Andover, MA 01810                    Suite 403
                                              Andover, MA 01810
                                              Attn: Renee Tichavsky

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                                SCHEDULE A - A/R

CHARTWELL CAREGIVERS, INC.                                            $6.500,000

Due to the voluminous nature of the information required to precisely
describe each of the accounts receivable included as part of the total pool
of accounts receivable, such information is not included herewith and is
separately available for review upon request.

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                                    EXHIBIT A

                                     FORM OF

                                 PROMISSORY NOTE

$_____________________                                        ___________, _____

         1. FOR VALUE RECEIVED, the undersigned, American Reimbursement, LLC, a
Delaware limited liability company ("Borrower") promises to pay to Chartwell
Diversified Services, Inc., a Delaware corporation ("Lender"), or to Lender's
order, the principal sum of ___________________ DOLLARS ($_________), together
with interest on the unpaid principal hereof at the rate provided in Section 3
below. All payments under this Note shall be made by corporate check in
accordance with Lender's instructions. This Note is made pursuant to and is
subject to that certain Receivables Purchase Agreement dated as of March 29,
2002, between Lender, as Seller, and Borrower.

         2. PAYMENTS. The entire principal amount of this Note, together with
all accrued unpaid interest, shall be due and payable on [___________, ____](1).
Lender expressly acknowledges and agrees that Borrower's obligations under this
Note are subject and subordinate to Buyer's assumption and indemnification
obligations under that certain Assumption and Indemnification Agreement dated as
of March 29, 2002 between Borrower and Med Diversified, Inc.

         3. INTEREST. Interest on the unpaid principal balance of this Note
shall accrue at the rate equal to LIBOR as in effect from time to time. In the
event that Borrower fails to pay any amount under this Note when due (whether at
maturity, by acceleration or otherwise, such overdue amount shall bear interest
at the rate which is three percent (3%) per annum in excess of LIBOR.
Notwithstanding any other provision of this Note, in no event shall the interest
payable hereunder, whether before or after maturity, exceed the maximum interest
which, under applicable law, may be charged on this Note. To the extent that any
amount collected by Lender exceeds the maximum interest permitted under
applicable law, such excess shall be applied to reduce the outstanding principal
of this Note. As used herein, "LIBOR" means, for the period commencing on the
date hereof and ending 3 months thereafter, and for each successive 3-month
period, the 3-month LIBOR interest rate as quoted in THE WALL STREET JOURNAL on
the first day of such period.

         4. EVENTS OF DEFAULT. Any one or more of the following events shall
constitute an Event of Default by Borrower under this Note.

            (a) If Borrower fails to pay when due and payable or when declared
due and payable, any portion of the obligations hereunder, whether of principal
or interest (including any interest which, but for the provisions of the United
States Bankruptcy Code, would have accrued on such amounts); or

            (b) If any bankruptcy, reorganization, receivership or other
insolvency proceeding is commenced by or against Borrower.

--------
(1) Three years from issuance.

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Upon the occurrence of an Event of Default, all amounts outstanding under this
Note shall, at the option of the holder hereof, become immediately due and
payable without notice or demand.

         5. MISCELLANEOUS. The indebtedness evidenced hereby shall be payable in
lawful money of the United States. Should any one or more provisions of this
Note be determined to be illegal or unenforceable, all other provisions shall
nevertheless remain effective.

         6. CHOICE OF LAW. This Note shall be governed by and construed in
accordance with the laws of the State of California, without giving effect to
the conflict of laws principles of such State.

         7. SUCCESSORS AND ASSIGNS. This Note shall bind Borrower and its
successors and assigns and shall inure to the benefit of Lender and its
successors and assigns; PROVIDED, HOWEVER, that Borrower may not assign this
Agreement or any rights or duties hereunder without Lender's prior written
consent and any prohibited assignment shall be absolutely void. No consent by
Lender to an assignment by Borrower shall release Borrower from its obligations.

         8. AMENDMENTS AND WAIVERS. No amendment, modification, termination, or
waiver of any provision of this Note or any other document or instrument
executed in connection herewith, or consent to any departure by Borrower
therefrom, shall in any event be effective without the written concurrence of
Lender.

         9. WAIVER OF JURY TRIAL. BORROWER AND LENDER ACKNOWLEDGE THAT THE RIGHT
TO TRIAL BY JURY IS A CONSTITUTIONAL ONE, BUT THAT IT MAY BE WAIVED. LENDER AND
BORROWER HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVE (AFTER CONSULTING
OR HAVING THE OPPORTUNITY TO CONSULT WITH COUNSEL OF THEIR CHOICE) ANY RIGHTS
THEY MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED HEREON, OR
ARISING OUT OF, UNDER, OR IN CONNECTION WITH, THIS AGREEMENT OR ANY OTHER
RELATED DOCUMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS
(WHETHER VERBAL OR WRITTEN) OR ACTIONS OF LENDER OR BORROWER. BORROWER
ACKNOWLEDGES AND AGREES THAT IT HAS RECEIVED FULL AND SUFFICIENT CONSIDERATION
FOR THIS PROVISION AND THAT THIS PROVISION IS A MATERIAL INDUCEMENT FOR LENDER
TO MAKE THE LOAN EVIDENCED HEREBY.

         IN WITNESS WHEREOF, this Note is executed by Borrower as of the date
first written above.

                                           AMERICAN REIMBURSEMENT, LLC, A
                                           DELAWARE LIMITED LIABILITY COMPANY

                                           By
                                             --------------------------------
                                           Title
                                                 ----------------------------

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                                    EXHIBIT B

                       PURCHASE PRICE PAYMENT INSTRUCTIONS

                      Chartwell Diversified Services, Inc.

                               Lockbox Account:
              American Reimbursement, LLC/Chartwell Caregivers, Inc.

                                  Fleet Bank
                               200 Federal Street
                                Boston, MA 02110<Page>

                                                                   EXHIBIT 10.12

                               CONTINUING GUARANTY

1. OBLIGATIONS GUARANTIED. For good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the undersigned ("Guarantor")
unconditionally guaranties and promises to pay to Tender Loving Care Health Care
Services, Inc., a Delaware corporation ("Beneficiary"), in lawful United States
money, all obligations of American Reimbursement, LLC ("Buyer") to Beneficiary
with respect to the payment of the "Purchase Price" under, and as defined in,
that certain Receivables Purchase Agreement dated as of March 29, 2002 between
Buyer and Beneficiary, including each Note issued by Buyer pursuant thereto
(collectively, the "Obligations"), whether incurred before, during or after any
bankruptcy, reorganization, insolvency, receivership or similar proceeding
("Insolvency Proceeding"), and whether recovery thereof is or becomes barred by
a statute of limitations or is or becomes otherwise unenforceable, together with
all expenses of, for and incidental to collection, including reasonable
attorneys' fees.

2. CONTINUING NATURE/REINSTATEMENT. This Guaranty is in addition to any other
guaranties of the Obligations, is continuing and covers all Obligations,
including those arising under successive transactions which continue or increase
the Obligations from time to time, renew all or part of the Obligations after
they have been satisfied, or create new Obligations. All of Beneficiary's rights
pursuant to this Guaranty continue with respect to amounts previously paid to
Beneficiary on account of any Obligations which are thereafter restored or
returned by Beneficiary, whether in an Insolvency Proceeding of Buyer or for any
other reason, all as though such amounts had not been paid to Beneficiary; and
Guarantor's liability under this Guaranty (and all its terms and provisions)
shall be reinstated and revived, notwithstanding any surrender or cancellation
of this Guaranty. Beneficiary, at its sole discretion, may determine whether any
amount paid to it must be restored or returned; provided, however, that if
Beneficiary elects to contest any claim for return or restoration, Guarantor
agrees to indemnify and hold Beneficiary harmless from and against all costs and
expenses, including reasonable attorneys' fees, expended or incurred by
Beneficiary in connection with such contest. If any Insolvency Proceeding is
commenced by or against Buyer or Guarantor, at Beneficiary's election,
Guarantor's obligations under this Guaranty shall immediately and without notice
or demand become due and payable, whether or not then otherwise due and payable.

3. AUTHORIZATION. Guarantor authorizes Beneficiary, without notice and without
affecting Guarantor's liability under this Guaranty, from time to time, to (a)
renew, compromise, extend, accelerate, release, subordinate, waive, amend and
restate, or otherwise amend or change, the interest rate, time or place for
payment or any other terms of all or any part of the Obligations; (b) accept
delinquent or partial payments on the Obligations; (c) take or not take security
or other credit support for this Guaranty or for all or any part of the
Obligations, and exchange, enforce, waive, release, subordinate, fail to enforce
or perfect, sell, or otherwise dispose of any such security or credit support;
(d) apply proceeds of any such security or credit support and direct the order
or manner of its sale or enforcement as Beneficiary, at its sole discretion, may
determine; and (e) release or substitute Buyer or any guarantor or other person
or entity liable on the Obligations.

4. WAIVERS. This Guaranty is a primary obligation of Guarantor, and Guarantor
hereby waives, to the maximum extent permitted by law, (a) all rights to require
Beneficiary to

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proceed against Buyer, or any other guarantor, or proceed against, enforce or
exhaust any security for the Obligations or to marshal assets or to pursue any
other remedy in Beneficiary's power whatsoever (and any defense based upon
Beneficiary's failure or delay in pursuing any such remedy); (b) all defenses
arising by reason of any disability or other defense of Buyer (other than the
full payment and performance of the Obligations), the cessation for any reason
of the liability of Buyer, any defense that any other indemnity, guaranty or
security was to be obtained, any claim that Beneficiary has made Guarantor's
obligations more burdensome or more burdensome than Buyer's obligations
(including without limitation any change in the underlying obligations), and the
use of any proceeds of the Obligations other than as intended or understood by
Beneficiary or Guarantor; (c) all presentments, demands for performance, notices
of nonperformance, protests, notices of dishonor, notices of acceptance of this
Guaranty and of the existence or creation of new or additional Obligations, and
all other notices or demands to which Guarantor might otherwise be entitled; (d)
all conditions precedent to the effectiveness of this Guaranty; (e) all rights
to file a claim in connection with the Obligations in an Insolvency Proceeding
filed by or against Buyer; (f) all rights to require Beneficiary to enforce any
of its remedies; and (g) until the Obligations are satisfied or fully paid with
such payment not subject to return: (i) all rights of subrogation, contribution,
indemnification or reimbursement, (ii) all rights of recourse to any assets or
property of Buyer, or to any collateral or credit support for the Obligations,
(iii) all rights to participate in or benefit from any security or credit
support Beneficiary may have or acquire, and (iv) all rights, remedies and
defenses Guarantor may have or acquire against Buyer.

5. GUARANTOR TO KEEP INFORMED. Guarantor warrants having established with Buyer
adequate means of obtaining, on an ongoing basis, such information as Guarantor
may require concerning all matters bearing on the risk of nonpayment or
nonperformance of the Obligations. Guarantor assumes sole, continuing
responsibility for obtaining such information from sources other than from
Beneficiary. Beneficiary has no duty to provide any information to Guarantor
until Beneficiary receives Guarantor's written request for specific information
in Beneficiary's possession which is reasonably related to the collection of the
accounts receivable sold by Beneficiary pursuant to the Receivables Purchase
Agreement referred to in Section 1 above, and Buyer has authorized Beneficiary
to disclose such information to Guarantor.

6. ASSIGNMENT. This Guaranty shall inure to the benefit of Beneficiary and
Beneficiary's successors and assigns. Beneficiary may assign Beneficiary's
rights under this Guaranty in whole or in part.

7. INTEGRATION/SEVERABILITY/AMENDMENTS. This Guaranty is intended by Guarantor
and Beneficiary as the complete, final expression of their agreement concerning
its subject matter. It supersedes all prior understandings or agreements with
respect thereto and may be changed only by a writing signed by Guarantor and
Beneficiary. No course of dealing, or parole or extrinsic evidence shall be used
to modify or supplement the express terms of this Guaranty. If any provision of
this Guaranty is found to be illegal, invalid or unenforceable, such provision
shall be enforced to the maximum extent permitted, but if fully unenforceable,
such provision shall be severable, and this Guaranty shall be construed as if
such provision had never been a part of this Guaranty, and the remaining
provisions shall continue in full force and effect.

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8. NOTICES. Any notice shall be effective only upon its receipt by the other
party and only if (a) given in writing and (b) personally delivered or sent by
United States mail, postage prepaid, and addressed to Beneficiary or Guarantor
at their respective addresses for notices indicated below. Guarantor and
Beneficiary may change the place to which notices, requests, and other
communications are to be sent to them by giving written notice of such change to
the other.

9. VENUE. Guarantor submits to the non-exclusive jurisdiction of the state or
federal courts of the State of California.

This Guaranty is executed as of March 29, 2002. Guarantor acknowledges having
received a copy of this Guaranty and having made each waiver contained in this
Guaranty with full knowledge of its consequences.

TENDER LOVING CARE HEALTH                MED DIVERSIFIED, INC.
CARE SERVICES, INC.

By: /s/ Willard T. Derr                  By: /s/ Frank P. Magliochetti
   ---------------------------------        ---------------------------
Its: S.V.P., Chief Financial Officer     Its: President & CEO
    --------------------------------        ---------------------------

Address for notices to Beneficiary:           Address for notices to Guarantor:

    1983 Marcus Avenue                           200 Brickstone Square
--------------------------------              -------------------------------
    Lake Success, NY 11042                       Suite 403
--------------------------------              -------------------------------
                                                 Andover, MA 01810
--------------------------------              -------------------------------
                                                 Attn: Frank Magliochetti
--------------------------------              -------------------------------

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