To get it to work with Apache, we needed one extra step.
openssl pkcs12 -in domain.pfx -clcerts -nokeys -out domain.cer
openssl pkcs12 -in domain.pfx -nocerts -nodes -out domain_encrypted.key
openssl rsa -in domain_encrypted.key -out domain.key
The final command decrypts the key for use with Apache. The domain.key file should look like this:
-----BEGIN RSA PRIVATE KEY-----
MjQxODIwNTFaMIG0MRQwEgYDVQQKEwtFbnRydXN0Lm5ldDFAMD4GA1UECxQ3d3d3
LmVudHJ1c3QubmV0L0NQU18yMDQ4IGluY29ycC4gYnkgcmVmLiAobGltaXRzIGxp
YWIuKTElMCMGA1UECxMcKGMpIDE5OTkgRW50cnVzdC5uZXQgTGltaXRlZDEzMDEG
A1UEAxMqRW50cnVzdC5uZXQgQ2VydGlmaWNhdGlvbiBBdXRob3JpdHkgKDIwNDgp
MIIBIjANBgkqhkiG9w0BAQEFAAOCAQ8AMIIBCgKCAQEArU1LqRKGsuqjIAcVFmQq
-----END RSA PRIVATE KEY-----