Alderman stayed 27 years, and became known as a prolific fund-raiser, a well-known orator, and a close adviser to U.S. president and UVA alumnus
Woodrow Wilson. He added significantly to the University Hospital to support new sickbeds and public health research, and helped create departments of geology and forestry, the
School of Education and Human Development (originally the Curry School of Education), the
McIntire School of Commerce, and the summer school programs in which young
Georgia O'Keeffe took part. Perhaps his greatest ambition was the funding and construction of a library on a scale of millions of books, much larger than the Rotunda could bear. Delayed by the
Great Depression, Alderman Library was named in his honor in 1938. Alderman, who seven years earlier had died in office en route to giving a public speech at the
University of Illinois at Urbana–Champaign, is still the longest-tenured president of the university.