A slang contraction of the word "hospital." It is a noteworthy coincidence that this is also the actual word for "hospital" in the Albanian language.
In certain neighborhoods of Philadelphia Pa, among emergency responders, it is a direct reference to two locations in Albert Einstein Medical Center: The ER, and the Fourth Floor Intensive Care Unit.
-That guy's really gettin' on my nerves, man
- Yeah, I think we gonna send him to the 'spital tonight, straight to da fourth floor.
Spital is a simple slang for a Hospital.
Yo man, Richie just got shot, and he in the Spital.