diff --git a/EndToEndSetupGuide.md b/EndToEndSetupGuide.md
new file mode 100644
index 00000000..5184c104
--- /dev/null
+++ b/EndToEndSetupGuide.md
@@ -0,0 +1,200 @@
+# End to End Setup Guide - No Docker
+Follow this guide if you would like to start each application without using Docker. Each must be launched separately (in a separate terminal window).
+
+### Other Guides:
+
+[Simple Set Up](SimpleSetupGuide.md) - This guide will get you up and running quickly with a demo environment for using the prototype locally. If you want to make changes or contribute to the codebase, see the detailed developer guide below.
+
+[Developer Environment Set Up](DeveloperSetupGuide.md) - Follow this guide if you are a developer and intend on making code changes to the DRLS REMS project. This guide follows a much more technical set up process and is fully featured.
+
+
+## Prerequisites
+- Java, gradle
+	- test-ehr
+- node
+	- REMS, pims, dtr, rems-smart-on-fhir, crd-request-generator
+
+## Installation Order
+1. Clone each Repo
+2. Start Utility Applications
+3. Start Test and Core Applications
+
+## Clone Repos
+```
+git clone git@github.com:mcode/test-ehr.git
+git clone git@github.com:mcode/crd-request-generator.git
+git clone git@github.com:mcode/REMS.git
+git clone git@github.com:mcode/pims.git
+git clone git@github.com:mcode/dtr.git
+git clone git@github.com:mcode/rems-smart-on-fhir.git
+```
+
+## Utilities
+
+### keycloak
+- Setup and run KeyCloak
+	- Download KeyCloak 16.1.1 from [www.github.com/keycloak/keycloak/releases/tag/16.1.1](https://github.com/keycloak/keycloak/releases/tag/16.1.1)
+	- Extract the downloaded file
+		
+		`tar -xvf keycloak-16.1.1.tar.gz`
+	- Navigate into directory
+
+		`cd keycloak-16.1.1/bin`
+	- Start Keycloak
+
+		`./standalone.sh -Djboss.socket.binding.port-offset=100`
+	- Create admin user and log in
+		- Launch the admin page in a web browser [localhost:8180/auth/](http://localhost:8180/auth/)
+		- Create a username and password for the admin user
+		- Select link for [Administration Console](http://localhost:8180/auth/admin/)
+		- Log in as user that was just created
+	- Import realm
+		- Select `Master` on top left and choose `Add realm`
+		- Select `Select file` in the middle
+			- In the file selection box choose `<test-ehr_location>/src/main/resources/ClientFhirServerRealm.json`
+		- Select `Create`
+	- Note: newer versions of Keycloak work as well. 
+		- Running 17, 18 or 19 with the legacy package (WildFly server) is setup the same as above. 
+		- Running a different version with the newer Quarkus server
+			- Update test-ehr and crd-request-generator configuration to point to the correct auth end points
+				- Remove `/auth` from the URLs
+			- Launch Keycloak
+
+				`KEYCLOAK_ADMIN=admin KEYCLOAK_ADMIN_PASSWORD=admin ./bin/kc.sh start-dev --http-port=8180`
+			- Configuration address for importing realm: [localhost:8180/admin/](http://localhost:8180/admin/)
+
+### mongodb
+- Setup and Run MongoDB
+	- Download the latest version for your OS from [www.mongodb.com/try/download/community](https://www.mongodb.com/try/download/community)
+	- Extract the downloaded package
+		- Linux and Mac
+	
+			`tar -xvf <package.tgz>`
+		- Windows
+
+			`unzip <package.zip`
+	- Navigate into directory
+
+		`cd <package>`
+	- Create folder for database
+
+		`mkdir db`
+	- Run mongo
+
+		`./bin/mongod --dbpath db`
+- Setup Mongo Shell `mongosh` to initialize the database
+	- Download latest version for your OS from [www.mongodb.com/try/download/shell](https://www.mongodb.com/try/download/shell)
+	- Extract the package
+
+		`unzip <package.zip>`
+	- Navigate into directory
+
+		`cd <package>`
+	- Initialize the database
+		- (Database must already be running)
+
+		`./bin/mongosh mongodb://localhost:27017 <REMS_PATH>/mongo-init.js`
+	- Alternate Install Instructions: [www.mongodb.com/docs/mongodb-shell/install/#std-label-mdb-shell-install](https://www.mongodb.com/docs/mongodb-shell/install/#std-label-mdb-shell-install)
+	
+- Restart mongo
+	- Stop the application
+	- Start as above
+		`./bin/mongod --dbpath db`
+	- Applications should now be able to connect
+
+## Test Applications
+
+### test-ehr
+
+- Navigate into directory already cloned from GitHub [www.github.com/mcode/test-ehr](https://www.github.com/mcode/test-ehr)
+
+	`cd test-ehr`
+
+- Run
+
+	`gradle bootRun`
+
+- Load Data (in separate window, also in repo folder)
+
+	`gradle loadData`
+
+### crd-request-generator
+
+- Navigate into directory already cloned from GitHub [www.github.com/mcode/crd-request-generator](https://www.github.com/mcode/crd-request-generator)
+
+	`cd crd-request-generator`
+
+- Setup
+
+	`npm install`
+
+- Run
+
+	`npm start`
+
+## Core Applications
+
+### REMS
+- Navigate into directory already cloned from GitHub [www.github.com/mcode/REMS](https://www.github.com/mcode/REMS)
+
+	`cd REMS`
+
+- Submodule Initialization
+
+	`git submodule update --init`
+	
+- Update env.json
+	- Add your VSAC key to env.json as the default value for `VSAC_API_KEY`
+
+- Setup
+
+	`npm install`
+
+- Run
+
+	`npm start`
+
+### pims
+- Navigate into directory already cloned from GitHub [www.github.com/mcode/pims](https://www.github.com/mcode/pims)
+
+	`cd pims`
+
+- Setup
+
+	`npm install`
+
+- Run
+
+	`npm start`
+
+### dtr
+- Navigate into directory already cloned from GitHub [www.github.com/mcode/dtr](https://www.github.com/mcode/dtr)
+
+	`cd dtr`
+
+- Setup
+
+	`npm install`
+
+- Run
+
+	`npm start`
+
+### rems-smart-on-fhir
+- Navigate into directory already cloned from GitHub [www.github.com/mcode/rems-smart-on-fhir](https://www.github.com/mcode/rems-smart-on-fhir)
+
+	`cd rems-smart-on-fhir`
+
+- Submodule Initialization
+
+	`git submodule update --init`
+
+- Setup
+
+	`npm install`
+
+- Run
+
+	`npm start`
+	
+	
diff --git a/README.md b/README.md
index 3b925808..80a63b3f 100644
--- a/README.md
+++ b/README.md
@@ -11,6 +11,8 @@ You can find complete end-to-end full-stack set up guides for DRLS REMS at the f
 
 [Developer Environment Set Up](DeveloperSetupGuide.md) - Follow this guide if you are a developer and intend on making code changes to the DRLS REMS project. This guide follows a much more technical set up process and is fully featured.
 
+[Developer Environment Set Up (No Docker)](EndToEndSetupGuide.md) - Follow this guide if you are intend on starting every application separately without using docker.
+
 ## Running only the REMS server project locally
 1.  Clone the REMS repositories from Github:
     ```bash
@@ -42,6 +44,12 @@ NOTE: The REMS Administrator is a work in progress.
 
 ## Running the REMS Adminstrator
 
+#### Initialization
+After cloning the repsistory, the submodules must be initialized. To do this you can run:
+
+```
+git submodule update --init
+```
 #### Setup
 ```
 npm install
@@ -60,4 +68,4 @@ To reach the CDS Services discovery information:
 
 ```
 http://localhost:8090/cds-services
-```
\ No newline at end of file
+```
diff --git a/mongo-init.js b/mongo-init.js
index 7e4006d0..d80aab92 100644
--- a/mongo-init.js
+++ b/mongo-init.js
@@ -11,6 +11,15 @@ dbRemsAdmin.createUser({ user: "rems-user",
 dbPims.createCollection('pims-tmp');
 dbRemsAdmin.createCollection('remsadmin-tmp');
 
+// add the administrator user
+const dbAdmin = db.getSiblingDB('admin');
+dbAdmin.createUser({ user: "rems-admin-pims-root",
+    pwd: "rems-admin-pims-password",
+    roles: [
+        { role: "userAdminAnyDatabase", db: "admin" }
+    ]
+})
+
 // // Insert document to ensure db/collection is created
 // dbPims.pimscollection.insertOne({name: 'Hello World!'})
-// dbRemsAdmin.remsadmincollection.insertOne({name: 'Hello World Again!'})
\ No newline at end of file
+// dbRemsAdmin.remsadmincollection.insertOne({name: 'Hello World Again!'})