Two ways to do it, but only worked for me so I'll put it first and the second for reference:
$ openssl pkcs12 -export -in hostname.crt -inkey hostname.key -out hostname.p12
$ openssl pkcs12 -in hostname.p12 -nodes -out hostname.pem
Other options for this method in comments below:
# Note, the -certfile root.crt appends all CA certs to the export, I've never needed these so it's optional for my personal steps
$ openssl pkcs12 -export -in hostname.crt -inkey hostname.key -certfile root.crt -out hostname.p12
# Note, I've always had my hostname.crt as part of my .pem, so I keep my certs but apparently you may not have to, hence the nocerts flag being an extra option in this sample
$ openssl pkcs12 -in hostname.p12 -nocerts -nodes -out hostname.pem
The second method hasn't ever worked for me on the servers I've setup, but here it is for reference:
$ openssl x509 -in hostname.crt -inform DER -out hostname.crt.pem -outform PEM
$ openssl rsa -in hostname.key -out hostname.key.pem -outform PEM
Then to create the .pem I usually use just concat the two together with the PEM formatted certificate first and the key second.
You king. Thanks for the help!