What is the purpose of @SmallTest, @MediumTest, and @LargeTest annotations in Android?

This blog post explains it best. Basically, it is the following:

1. Small: this test doesn't interact with any file system or network.
2. Medium: Accesses file systems on box which is running tests.
3. Large: Accesses external file systems, networks, etc.

Per the Android Developers blog, a small test should take < 100ms, a medium test < 2s, and a large test < 120s.

See this page (search for "@SmallTest") on how to specify which tests get run.

As an addition to Davidann's answer and mainly OP's question in the comment:

In the context of the code above, does it actually DO anything except leave a note for other developers? Does it enforce anything? Are there any tools that utilizes this annotation? What's it's purpose in Android development?

You can run a group of tests annotated with specific annotation.

From AndroidJUnitRunner documentation:

Running a specific test size i.e. annotated with SmallTest or MediumTest or LargeTest:

adb shell am instrument -w -e size [small|medium|large] com.android.foo/android.support.test.runner.AndroidJUnitRunner

You may also setup those params through gradle:

    android {        ...        defaultConfig {            ...            testInstrumentationRunnerArgument 'size', 'Large'        }    }

Via gradle:

-Pandroid.testInstrumentationRunnerArguments.size=small

See Doug Stevenson blog post as well as this blog post for more details.

You can also annotate POJO unit tests with @Category(MediumTest.class) or @Category(LargeTest.class), etc. by defining your own Categories - see the test-categories repo for an example