In 1919, the Commonwealth of Virginia began exploring sites for a new sanatorium. At the time, tuberculosis killed thousands of Virginians annually and the state recognized the need for an additional sanatorium to support the growing number of patients.
Prompted by his personal history with tuberculosis, the University of Virginia's president Edwin Alderman wrote a letter to the governor urging the State to place the sanatorium in Charlottesville.
The city of Charlottesville offered additional support, including financial assistance and road improvements. With that support from the University and the City, the State of Virginia purchased the land and opened the Blue Ridge Sanatorium in 1920.