New York City (actually Manhattan) has (i think) three remaining operational steam plants. At one time there were as many as about a dozen. They mostly function to provide live steam heat to Manhattan buildings that have steam radiators. I lived in just such a building in the 1990s. Live steam has other uses. Until the mid 1990s (when it ceased operations) St. Vincent's Hospital, in Greenwich Village which had a legendary emergency department, used live steam to sanitize medical instruments.
Before AC electrical power transmission (Westinghouse), Live steam was used as a method of power transmission. Kinda cool to think about... a mechanism to deliver power that is thermal + mechanical, rather than electrical. Whole different way of thinking, but still delivers usable work. Notwithstanding engineering and physical issues of efficiency vs. electrical power, it does suggest a fundamentally different way of looking at the world (and its underlying physics, engineering, and the math supports same) contrasting what we are all used to and tend to assume as the default.
Advanced Exercise: Central shaft? Mechanical-->Mechanical transmission? Not just for water mills. this is how many machine shops were operated. Cool ass fact: Many of those century+ old machines are beautiful examples of fabrication craft and have been given a (deserved) extended life by being retrofitted with new ball screws, mechanical/electronic digital readouts, and electric motors. I worked on a tool-room lathe fitting the above description in a technical college class in machining that was taught by an amazing individual who had formerly been the Chief Machinist for Glaxo-Welcome before GLX shut down their machine shop.
--diogenesNY
P.S. To follow up on Russ Waters comment... Once upon a time, many urban buildings had their own boilers fueled by delivery of coal or oil. This is just a whole huge menu of things that can go wrong and be costly. Buying live steam (where available) was (and is ) a huge cost, capital, and liability saver. Why deal with all the associated hassle of burning your own coal and boiling your own water, when you can just buy the already produced live steam by the cubic yard? A good deal for the remaining buildings that use steam heat... however more modern buildings make use of other mechanisms of climate control.