The hierarchical document structure is a means to describe the PDF document structure, which is currently not supported. See 10.6.1 Structure Hierarchy on 856 page of the PDF specification for details.
This document structure is an alternative to the standard PDF structure and most non-Adobe software does not support it.

The document might have been created with Adobe software like Adobe LiveCycle Designer. Very often the document contains some fallback text in the standard PDF structure like:
"Please wait... If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document."
"The document you are trying to load requires Adobe Reader 8 or higher. You may not have the Adobe Reader installed or your viewing environment may not be properly configured to use Adobe Reader. For information on how to install Adobe Reader and configure your viewing environment please see  http://www.adobe.com/go/pdf_forms_configure."
"For the best experience, open this PDF portfolio in Acrobat X, Reader X, or later."