Is It a Hospital or an Hospital?

It’s a hospital. Since "hospital" begins with a consonant sound (the "h" is sounded), it takes the article "a".

It’s a hospital. We use a or an based on the sound made by the initial letter of the following word—not how it is spelled. Since "hospital" begins with a consonant sound (the "h" is sounded), it takes the article "a".

She will stay in a hospital ward.

She will stay in an hospital ward.

Borrowed from the French, the word hospital had a silent "h"; today, however, not pronouncing it is considered wrong.

You just need to be in a hospital.

She arrived at a hospital in an emergency situation.

Relative frequency of the phrases a hospital and an hospital
"A hospital" vs. "an hospital" in books through time
Source: Google Books Ngram Viewer

A partial list of words that also start with a sounded "h", and therefore take the article "a":

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