The fact that they referred to the position as an 'IT tech' said something about the hospital.
'IT' is short for 'information technology', and 'tech' is slang for 'technician'
So, they don't have much of a clue. If you actually get hired, expect to end up as the IT guy for everything. Because they don't really know what they need or want. Also, expect conflicting requirements...
The job application form is a PDF - but it's not the kind of PDF that can be filled out, like an 1040EZ tax form, and doesn't even need to be printed
The application is four pages - scanned in, that's four separate images, one for each page of the job application - and yet the Mad River Hospital submission process only allows one file to be attached
Here you failed the test. Fill out all four pages, scan them in, insert them into a word processor document, then export said document into one PDF. Result: one PDF with all four pages, attach that to the application.
I know for a fact that the above is possible with LibreOffice. I suspect that Microsoft Office can do it too, or you could "print" the document via some PDF "printing" software.