FIRST AMENDMENT TO AGREEMENT OF LIMITED PARTNERSHIP OF AMERICAN REALTY CAPITAL HEALTHCARE TRUST OPERATING PARTNERSHIP, L.P.

Exhibit 4.2

FIRST AMENDMENT TO

AGREEMENT OF LIMITED PARTNERSHIP

OF

AMERICAN REALTY CAPITAL HEALTHCARE TRUST OPERATING PARTNERSHIP, L.P.

This FIRST AMENDMENT TO AGREEMENT OF LIMITED PARTNERSHIP of AMERICAN REALTY CAPITAL HEALTHCARE TRUST OPERATING PARTNERSHIP, L.P. (the “Partnership”), is entered into as of August 1, 2011, between American Realty Capital Healthcare Trust, Inc., the general partner of the Partnership (the “General Partner”), and American Realty Capital Healthcare Trust Special Limited Partnership, LLC, the special limited partner of the Partnership (the “Special Limited Partner”).

RECITALS

WHEREAS, the General Partner, the Special Limited Partner and American Realty Capital Healthcare Advisors, LLC entered into that certain Agreement of Limited Partnership of the Partnership (the “Partnership Agreement”), dated as of February 18, 2011; and

WHEREAS, pursuant to Section 14.1 of the Partnership Agreement, the General Partner and the Special Limited Partner desire to make a certain amendment to the Partnership Agreement.

NOW, THEREFORE, in consideration of the premises made hereunder, and for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto, intending to be legally bound, hereby agree as follows:

1. Amendment to Article 1 of the Partnership Agreement.  Article 1 of the Partnership Agreement is hereby amended by inserting the text “non-interest bearing” before the text “promissory note” in the definition of “Note” appearing therein.

[Signature page follows.]

IN WITNESS WHEREOF, the undersigned, intending to be legally bound hereby, have duly executed this agreement as of the date first set forth above.

GENERAL PARTNER:
AMERICAN REALTY CAPITAL HEALTHCARE
TRUST, INC.
By:	/s/ Xxxxxxx X. Xxxxxx
	Name: Xxxxxxx X. Xxxxxx
	Title:   President
SPECIAL LIMITED PARTNER:
AMERICAN REALTY CAPITAL HEALTHCARE
TRUST SPECIAL LIMITED PARTNERSHIP, LLC
By:	American Realty Capital V, LLC,
	its Managing Member
By:	/s/ Xxxxxxxx X. Xxxxxxxx
	Name: Xxxxxxxx X. Xxxxxxxx
	Title:   Authorized Signatory