According to EDATE, you're mostly dealing with 12 months before the End Date (B25).
Given that, this seems to say:
If the start date is more than 12 months before the end date then:
(The amount of time that the start date is prior to the year before the end date divided by one year) + 1
Else:
The amount of time that the start date is prior to the end date divided by one year.
I really don't know how Excel handles date arithmetic or what the point of this function is, but that's my pseudo at a glance.
Really, it's just checking the if condition I mentioned, then offsetting the entire arithmetic by a year if the condition is true.
Edit
Okay, some quick research shows that Excel does date arithmetic purely as days, so then 12/1/1900 - 1/1/1900 = 335 days. Putting a time on either date makes it a fraction of a day.
Given that, this Excel formula appears to attempt to calculate the fractional year difference between the two dates.
This is a rough piece of code that should provide it:
TimeSpan span = endDate.Subtract(startDate);
double years = span.Days / 365.25;
EDATEisDateTime.AddMonths().